Stübgen J P
Department of Neurology, New York Hospital-Cornell Medical Center, New York 10021, USA.
Surg Neurol. 1995 Jan;43(1):85-7; discussion 87-8. doi: 10.1016/0090-3019(95)80047-k.
A head magnetic resonance imaging scan on a 22-year-old black woman with a 1-year history of brain stem symptoms showed a retroclival mass. Noninvasive studies were unhelpful in characterizing the lesion. Biopsy of the mass showed noncaseating granulomas, consistant with sarcoidosis. Symptoms improved on steroid treatment. Sarcoidosis should be considered in the differential diagnosis of a retroclival mass; difficulties in the noninvasive investigation of neurosarcoidosis are discussed.
一名有1年脑干症状病史的22岁黑人女性的头部磁共振成像扫描显示斜坡后有一肿块。非侵入性检查对该病变的特征描述并无帮助。肿块活检显示非干酪样肉芽肿，符合结节病。类固醇治疗后症状改善。在斜坡后肿块的鉴别诊断中应考虑结节病；文中讨论了神经结节病非侵入性检查的困难。
