导致胸段神经根病的神经结节病：一例报告
Neurosarcoidosis resulting in thoracic radiculopathy: a case report.
作者信息
Hamodat Hayam, Tran Allen
机构信息
Department of Medical Neuroscience, Dalhousie University, Room 13-B1, 5850 College Street, PO Box 15000, Halifax, NS, B3H 4R2, Canada.
Department of Medicine, Dalhousie University, Room 409 Bethune Building, 1276 South Park Street, Halifax, NS, B3H 2Y9, Canada.
出版信息
J Med Case Rep. 2019 May 5;13(1):130. doi: 10.1186/s13256-019-2065-0.
BACKGROUND
Thoracic radiculopathy is a rare etiology of vague abdominal pain. There are few reports of neurosarcoidosis manifesting as a thoracic radiculopathy, which highlights the diagnostic challenge.
CASE PRESENTATION
A 54-year-old Caucasian man was being investigated for right upper quadrant abdominal pain and was found to have diffuse lymphadenopathy on imaging. He was eventually diagnosed with sarcoidosis. Over time, his abdominal pain progressed to neuropathic pain along his T7-T11 dermatome. Magnetic resonance imaging revealed findings consistent with a thoracic radiculopathy due to neurosarcoidosis. The patient received corticosteroids for treatment of neurosarcoidosis and immunosuppressant therapy to manage neuropathic pain.
CONCLUSIONS
This case report highlights the importance of considering thoracic radiculopathies in the differential diagnosis of vague abdominal pain and explores guidelines in diagnosing neurosarcoidosis in the absence of neural tissue biopsy.
背景
胸神经根病是引起腹部隐痛的一种罕见病因。神经结节病表现为胸神经根病的报道很少，这凸显了诊断上的挑战。
病例介绍
一名54岁的白种男性因右上腹疼痛接受检查，影像学检查发现有弥漫性淋巴结病。他最终被诊断为结节病。随着时间的推移，他的腹痛发展为沿T7 - T11皮节的神经性疼痛。磁共振成像显示的结果与神经结节病所致的胸神经根病相符。该患者接受了皮质类固醇治疗神经结节病，并接受免疫抑制治疗以控制神经性疼痛。
结论
本病例报告强调了在腹部隐痛的鉴别诊断中考虑胸神经根病的重要性，并探讨了在未进行神经组织活检的情况下诊断神经结节病的指南。
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