Rapid onset thoracic myelopathy due to an epidural sarcoid-like lesion in a pediatric patient.

Rapid onset thoracic myelopathy due to an epidural sarcoid-like lesion in a pediatric patient.

World Neurosurg. 2018 Jan 08;:

Authors: Galgano MA, Goulart CR, Chisholm K, Hazen M, Stone S

Abstract
Isolated intraspinal neurosarcoidosis is a rare clinical entity, with most reports describing intramedullary involvement in adults. We detail the case of a nine-year-old girl with rapid onset compressive myelopathy secondary to a thoracic epidural lesion. Although pathological diagnosis was challenging, a presumptive diagnosis of isolated extradural neurosarcoidosis was made in light of the patient's investigations and dramatic response to corticosteroids. Though less likely than neoplasia, rheumatologic processes such as inflammatory granulomatous disease warrant consideration in similar cases.

PMID: 29325956 [PubMed - as supplied by publisher]

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