Intramedullary Sarcoidosis of Cervical Spinal Cord Suspected as Intramedullary Tumor: A case report.

, Kim, Se Hwan; , Seo, Kyung Mook; , Kim, Don Kyu; , Kang, Si Hyun

Case Report

Journal of the Korean Academy of Rehabilitation Medicine 2010;34(3):372-375.

Kim, Se Hwan , Seo, Kyung Mook , Kim, Don Kyu , Kang, Si Hyun

Department of Physical Medicine and Rehabilitation, Chung-Ang University College of Medicine, Korea. kmseo@cau.ac.kr

척수 내 종양으로 의심된 경추 척수 내 유육종증 −증례 보고−

김세환, 서경묵, 김돈규, 강시현

중앙대학교 의과대학 재활의학교실

Abstract

Sarcoidosis is an idiopathic multisystem disorder that usually develops in the respiratory system, but rarely in spinal cord. A 54-year-old female patient was presented with progressive right side weakness and paresthesia below C4 level dermatome which began 3 months ago. Cervical MRI findings showed T2 weighted high signal nodular lesion with surrounding edema at the C4 and C5 vertebra level, suggestive of intramedullary spinal cord tumor. She went through the resection of the part of the mass. The result of biopsy revelaed chronic granulomatous inflammation without caseous necrosis. Despite of tuberculosis medication and proper rehabilitation program for 2 weeks, there was no improvement of symptoms with exacerbated findings on cervical MRI and increased serum angiotensin converting enzyme level. We concerned about the cervical intramedullary sarcoidosis at this point, we treated her with steroid. After 3 months, her MRI findings were improved without improvement in her symptoms. (J Korean Acad Rehab Med 2010; 34: 372-375)

Key Words: Sarcoidosis, Intramedullary spinal cord neoplasms, Hemiparesis