• Can J Neurol Sci · May 2001

    Review Case Reports

    Sarcoidosis presenting as an intramedullary spinal cord lesion.

    • F B Maroun, F J O'Dea, G Mathieson, G Fox, G Murray, J C Jacob, R Reddy, and R Avery.
    • Department of Radiology, Memorial University of Newfoundland, Health Sciences Centre, St John's, Canada.
    • Can J Neurol Sci. 2001 May 1;28(2):163-6.

    ObjectivesSarcoidosis affects the spinal cord in only 0.43% of patients with sarcoidosis. Usually there is systemic involvement prior to the development of cord lesions. We present a case of sarcoid isolated to the intramedullary spinal cord, which was a diagnostic and therapeutic challenge. We review the case and then present a review of the literature with an emphasis on presentation, diagnosis and treatment.MethodsWe have reviewed a patient who presented with an isolated sarcoid granuloma affecting the cervical spinal cord. All pertinent history and physical information was extracted from the patient's chart and through patient interview. Laboratory, radiographic and pathological investigations are presented.Results And ConclusionsFourteen patients have been reported with isolated intramedullary spinal cord sarcoidosis. Current practice supports the role of surgery for biopsy; mainstay of treatment is corticosteroids.

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