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KMID : 1001920140550010061
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Journal of Korean Neurosurgical Society
2014 Volume.55 No. 1 p.61 ~ p.63
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Solitary Cavernous Sinus Neurosarcoidosis Mimicking Neurosyphilis
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Kim Dong-Ha
Cho Won-Ho
Cho Kyu-Sup
Cha Seong-Heon
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Abstract
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A differential diagnosis between neurosarcoidosis and neurosyphilis is particularly problematic in patients with a positive serologic result for syphilis. We report here a patient with a solitary cavernous sinus sarcoidosis who had a history of syphilis and showed rapidly progressing cavernous sinus syndrome. A transsphenoidal biopsy was performed and a histopathologic examination revealed a non-caseating granuloma with an asteroid body. His facial pain disappeared after steroid therapy. He received oral prednisolone for one year. A follow-up magnetic resonance imaging of the brain revealed resolution of the mass over the cavernous sinus. Particularly in patients with a history of syphilis, neurosyphilis should be included in a differential diagnosis of neurosarcoidosis.
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KEYWORD
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Neurosarcoidosis, Neurosyphilis, Sarcoidosis, Cavernous sinus
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