Wilson J D, Castillo M, Van Tassel P
Section of Neuroradiology, University of North Carolina School of Medicine, Chapel Hill.
Clin Imaging. 1994 Jul-Sep;18(3):184-8. doi: 10.1016/0899-7071(94)90079-5.
We present three young African-American patients in whom magnetic resonance imaging (MRI) showed dural based masses that were initially thought to represent meningiomas. Two patients underwent surgery and the diagnosis of sarcoidosis was made. The third patient underwent a trial of steroids with considerable improvement of her symptoms. We suggest that sarcoidosis should always be considered in the differential diagnosis of dural-based masses which have MRI characteristics similar to those of meningiomas. The possibility of sarcoidosis should lead to appropriate laboratory tests and therapy.
我们介绍了三名年轻的非裔美国患者，他们的磁共振成像（MRI）显示硬膜下肿块，最初被认为是脑膜瘤。两名患者接受了手术，确诊为结节病。第三名患者接受了类固醇试验，症状有显著改善。我们建议，在鉴别诊断具有与脑膜瘤相似MRI特征的硬膜下肿块时，应始终考虑结节病。结节病的可能性应促使进行适当的实验室检查和治疗。
