Intradural Extramedullary Spinal Sarcoidosis Mimicking Meningioma. (5th August 2019)

• Record Type: Journal Article
• Authors: Ishiwata, Sho; Iizuka, Yoichi; Mieda, Tokue; Hirato, Junko; Koshi, Hiromi; Kakuta, Yohei; Honda, Akira; Sonoda, Hiroyuki; Tajika, Tsuyoshi; Chikuda, Hirotaka
• Other Names: Subbiah Vivek Academic Editor.
• Is Part Of: Case reports in orthopedics. Volume 2019(2019)
• Publication Date: 2019-08-05
• Subjects: Orthopedics -- Periodicals; Orthopedics; Orthopedics; Periodicals; Electronic journals; Periodicals; 616.7
• DOI: 10.1155/2019/3592980
• Languages: English
• ISSNs: 2090-6749

Abstract

Abstract : Background . Spinal sarcoidosis is a rare subgroup of neurosarcoidosis. Although most sarcoid lesions develop in the intramedullary compartment, intradural extramedullary (IDEM) spinal sarcoidosis is an extremely rare entity. Case Presentation . We herein report a case of IDEM spinal sarcoidosis mimicking a meningioma. A 32-year-old man presented to the hospital with clumsy hands and was unable to walk without assistance. Magnetic resonance imaging (MRI) of the cervical spine revealed a dural tail sign that is common in meningiomas. The patient underwent gross total resection. The pathological findings consisted with a sarcoid leision of the spinal cord. The patient's myelopathy recovered after surgery. Conclusions . Physicians should be alert for the possibility of IDEM sarcoidosis mimicking a meningioma in the differential diagnosis of IDEM spinal cord tumors.