Caroscio J T, Yahr M D
Clin Neurol Neurosurg. 1980;82(4):217-22. doi: 10.1016/0303-8467(80)90012-8.
A patient developed a progressive paraparesis after a bout of uveitis and parotitis; and lung biopsy was diagnostic of sarcoidosis. A myelogram was normal on two occasions. Spinal tap revealed an elevated protein, a pleocytosis and a low glucose, and a diagnosis of sarcoidosis of the spinal cord made. Previous reports of sarcoidosis of the spinal cord are reviewed. Of interest in this case was an elevated CSF IgG. Elevation of CSF globulin or gamma globulin may be a common finding in this condition as it was noted in 14 of 15 cases of CNS sarcoid previously reported.
一名患者在患葡萄膜炎和腮腺炎后出现进行性截瘫；肺部活检诊断为结节病。脊髓造影两次结果均正常。腰椎穿刺显示蛋白升高、细胞增多和葡萄糖降低，诊断为脊髓结节病。回顾了以往关于脊髓结节病的报告。该病例中值得关注的是脑脊液IgG升高。脑脊液球蛋白或γ球蛋白升高可能是这种疾病的常见表现，如先前报道的15例中枢神经系统结节病中有14例出现这种情况。
