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神经结节病:不寻常的表现及诊断与管理的考量

Neurosarcoidosis: unusual presentations and considerations for diagnosis and management.

作者信息

Radwan Walid, Lucke-Wold Brandon, Robadi Ibrahim Ahmed, Gyure Kymberly, Roberts Thomas, Bhatia Sanjay

机构信息

Department of Neurosurgery, West Virginia University, Morgantown, West Virginia, USA.

West Virginia University, Morgantown, West Virginia, USA.

出版信息

Postgrad Med J. 2017 Jul;93(1101):401-405. doi: 10.1136/postgradmedj-2016-134475. Epub 2016 Dec 5.

Abstract

BACKGROUND

Sarcoidosis is a chronic, multisystem disease characterised by non-necrotising granulomatous inflammation of unknown aetiology. Most commonly, the lungs, lymph nodes, skin and eyes are affected in sarcoidosis; however, nervous system involvement occurs in approximately 5%-15% of cases. Any part of the nervous system can be affected by sarcoidosis.

CASES

Herein we describe three unusual patient presentations of neurosarcoidosis, one with optic neuritis, a second with hydrocephalus and a third with cervical myelopathy.

CONCLUSIONS

We include pertinent details about their presentations, imaging findings, pathology, management and clinical course.

摘要

背景

结节病是一种慢性多系统疾病,其特征为病因不明的非坏死性肉芽肿性炎症。结节病最常累及肺、淋巴结、皮肤和眼睛;然而,约5%-15%的病例会出现神经系统受累。神经系统的任何部位都可能受到结节病的影响。

病例

在此,我们描述三例结节病累及神经系统的不寻常病例,一例为视神经炎,一例为脑积水,另一例为颈髓病。

结论

我们纳入了有关其临床表现、影像学检查结果、病理学、治疗及临床病程的相关细节。

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本文引用的文献

2
Endoscopic biopsy for the diagnosis of neurosarcoidosis at the fourth ventricle outlet with hydrocephalus.
Surg Neurol Int. 2015 Nov 25;6(Suppl 25):S633-6. doi: 10.4103/2152-7806.170466. eCollection 2015.
4
"The Great Mimicker": An Unusual Etiology of Cytopenia, Diffuse Lymphadenopathy, and Massive Splenomegaly.
Case Rep Med. 2015;2015:637965. doi: 10.1155/2015/637965. Epub 2015 Oct 22.
5
[A case of intraventricular isolated neurosarcoidosis diagnosed by neuroendoscopic biopsy].
No Shinkei Geka. 2015 Mar;43(3):247-52. doi: 10.11477/mf.1436202995.
6
[Clinical analyses of sarcoidosis with ocular involvement].
Zhonghua Yi Xue Za Zhi. 2014 Nov 4;94(40):3171-4.
7
9
10
[Neurosarcoidosis presenting with severe hyposmia and polyradiculopathy].
Rinsho Shinkeigaku. 2013;53(10):821-6. doi: 10.5692/clinicalneurol.53.821.

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