• World Neurosurg · Mar 2018

    Case Reports

    Rapid-Onset Thoracic Myelopathy due to an Epidural Sarcoid-Like Lesion in a Pediatric Patient.

    • Michael A Galgano, Carlos R Goulart, Karen Chisholm, Melissa Hazen, and Scellig Stone.
    • Department of Neurosurgery, SUNY Upstate Medical University, Syracuse, New York, USA.
    • World Neurosurg. 2018 Mar 1; 111: 377-380.

    BackgroundIsolated intraspinal neurosarcoidosis is a rare clinical entity, with most reports describing intramedullary involvement in adults.Case DescriptionWe detail the case of a 9-year-old girl with rapid-onset compressive myelopathy secondary to a thoracic epidural lesion. Although pathologic diagnosis was challenging, a presumptive diagnosis of isolated extradural neurosarcoidosis was made in light of the patient's investigations and dramatic response to corticosteroids.ConclusionsAlthough less likely than neoplasia, rheumatologic processes such as inflammatory granulomatous disease warrant consideration in similar cases.Copyright © 2018 Elsevier Inc. All rights reserved.

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