酷似脑膜瘤的硬脊膜内髓外脊髓结节病
Intradural Extramedullary Spinal Sarcoidosis Mimicking Meningioma.
作者信息
Ishiwata Sho, Iizuka Yoichi, Mieda Tokue, Hirato Junko, Koshi Hiromi, Kakuta Yohei, Honda Akira, Sonoda Hiroyuki, Tajika Tsuyoshi, Chikuda Hirotaka
机构信息
Department of Orthopaedic Surgery, Gunma University Graduate School of Medicine, 3-39-22, Showa, Maebashi, Gunma 371-8511, Japan.
Clinical Department of Pathology, Gunma University Hospital, 3-39-22, Showa, Maebashi, Gunma 371-8511, Japan.
出版信息
Case Rep Orthop. 2019 Aug 5;2019:3592980. doi: 10.1155/2019/3592980. eCollection 2019.
BACKGROUND
Spinal sarcoidosis is a rare subgroup of neurosarcoidosis. Although most sarcoid lesions develop in the intramedullary compartment, intradural extramedullary (IDEM) spinal sarcoidosis is an extremely rare entity.
CASE PRESENTATION
We herein report a case of IDEM spinal sarcoidosis mimicking a meningioma. A 32-year-old man presented to the hospital with clumsy hands and was unable to walk without assistance. Magnetic resonance imaging (MRI) of the cervical spine revealed a dural tail sign that is common in meningiomas. The patient underwent gross total resection. The pathological findings consisted with a sarcoid leision of the spinal cord. The patient's myelopathy recovered after surgery.
CONCLUSIONS
Physicians should be alert for the possibility of IDEM sarcoidosis mimicking a meningioma in the differential diagnosis of IDEM spinal cord tumors.
背景
脊柱结节病是神经结节病中罕见的一个亚组。尽管大多数结节病病变发生在髓内区域，但硬脊膜内髓外（IDEM）脊柱结节病是一种极其罕见的疾病。
病例报告
我们在此报告一例酷似脑膜瘤的IDEM脊柱结节病病例。一名32岁男性因手部笨拙前来就诊，且无法独立行走。颈椎磁共振成像（MRI）显示出脑膜瘤常见的硬脑膜尾征。患者接受了肿瘤全切手术。病理检查结果证实为脊髓结节病病变。术后患者的脊髓病症状得到缓解。
结论
在IDEM脊髓肿瘤的鉴别诊断中，医生应警惕IDEM结节病酷似脑膜瘤的可能性。
Zotero 插件