Expect the Unexpected: Unusual Neurological Presentation of Bone Marrow Sarcoidosis
Keywords:
sarcoidosis, granulmatous inflammation, bone marrow, radiculopathy, spinal cord compressionAbstract
Bone marrow granulomas are rare and, when they occur, sarcoidosis is an uncommon etiology. This report describes a case of a 58-year-old man who presented with a five-month history of bilateral lower limb paresis. His paresis was associated with urinary and fecal incontinence and impotence, but without any loss of sensations. Head, chest, abdominal, and pelvic CT scans and MRI images, and a full-body Gallium 67 scan were all within normal limits. A CT-guided biopsy of the L1-L2 vertebral bodies showed non-caseating granulomatous inflammation. Serum angiotensin-converting enzyme (ACE) level was elevated. A diagnosis of bone marrow sarcoidosis was made after other differential diagnoses were excluded.
Downloads
Published
Issue
Section
License
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Transfer of Copyright and Permission to Reproduce Parts of Published Papers.
Authors retain the copyright for their published work. No formal permission will be required to reproduce parts (tables or illustrations) of published papers, provided the source is quoted appropriately and reproduction has no commercial intent. Reproductions with commercial intent will require written permission and payment of royalties.
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
