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KMID : 1201420200130010057
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Journal of Neurocritical Care
2020 Volume.13 No. 1 p.57 ~ p.60
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Cervical myelitis in a patient with pulmonary sarcoidosis
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Chung Eun-Joo
Lee So-Young
Lee Jin-Hyung
Park Yoon-Ah
Chun Bong-Kwon
Huh So-Young
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Abstract
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Background: Sarcoidosis is a multisystemic disease characterized by noncaseating granulomas, predominantly affecting organs such as the lungs and lymph nodes. Spinal cord involvement of sarcoidosis is uncommon.
Case Report: A 32-year-old male presented with pain and numbness in bilateral upper extremities for 1 year. He had pulmonary sarcoidosis 4 years ago. Spinal magnetic resonance imaging showed a cord lesion with enhancement at the C5 to C6 level. Chest computed tomography revealed the increased size of the lymph nodes compared to previously. His serum angiotensin-converting enzyme level was elevated. He was diagnosed with myelitis caused by sarcoidosis. After steroid treatment, the numbness improved, but the pain still persisted.
Conclusion: To enable the early detection and treatment of neurosarcoidosis among patients with systemic sarcoidosis, a high degree of suspicion is required. Neurological complications can be minimized if it is detected and treated early.
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KEYWORD
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Neurosarcoidosis, Myelitis, Spinal cord
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