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首页> 外文期刊>The Canadian Journal of Neurological Sciences: le Journal Canadien des Sciences Neurologiques >Sarcoidosis presenting as an intramedullary spinal cord lesion.
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Sarcoidosis presenting as an intramedullary spinal cord lesion.

机译：结节病表现为髓内脊髓病变。

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摘要

OBJECTIVES: Sarcoidosis 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. METHODS: We 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 CONCLUSIONS: Fourteen patients have been reported with isolated intramedullary spinal cord sarcoidosis. Current practice supports the role of surgery for biopsy; mainstay of treatment is corticosteroids.
机译：目的：结节病仅影响0.43％的结节病患者的脊髓。通常在发生脊髓损伤之前先有全身性累及。我们提出一例肌瘤分离到髓内脊髓，这是诊断和治疗的挑战。我们审查该病例，然后对文献进行综述，重点是介绍，诊断和治疗。方法：我们审查了一名患有孤立的肉瘤肉芽肿并影响颈脊髓的患者。所有相关的病史和身体信息均从患者病历表和患者访谈中提取。介绍了实验室，射线照相和病理学检查。结果与结论：已有14例患者报告孤立性髓内脊髓结节病。当前的实践支持手术对活检的作用;治疗的主体是皮质类固醇。

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