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Spinal cord sarcoidosis remains a diagnostic dilemma since neurologic localization is frequently the only manifestation. Because treatment for spinal cord sarcoidosis is far different from treatment for other myelopathies, such as multiple sclerosis and optic neuromyelitis, diagnosis of sarcoidosis remains an important challenge. Here, we show that spinal cord MRI and blood and cerebrospinal markers may be useful tools in the diagnosis of spinal cord sarcoidosis. We suggest that accessory salivary gland biopsies, chest X-rays, protein electrophoresis, and blood levels of CRP and LDH should be obtained for each patient with subacute myelopathy. We also recommend paying careful attention to thromboembolism in patients with spinal cord sarcoidosis because of systematic disease and their decreased mobility. |
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CAT scan,chest
chest x-ray,abnormal
C-reactive protein,elevated
electrophoretic pattern,serum
granulomatous disease
lactic dehydrogenase(LDH)
mimics
MRI,abnormal
MRI,spinal cord
myelopathy
neurologic disease,diagnoses of
pleocytosis of cerebrospinal fluid
prognosis
review article
salivary gland biopsy
sarcoidosis
sarcoidosis,CNS
spinal cord
spinal cord,lesion of
treatment of neurologic disorder
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