Neurosarcoidosis Presenting as Spinal Nerve Root Pain of Trunk

J Korean Neurol Assoc > Volume 28(2); 2010 > Article

Journal of the Korean Neurological Association 2010;28(2): 119-121.

몸통의 척수신경뿌리 통증으로 발현한 신경사르코이드증

김수현, 안석원 박병수 신정원 김성민 이광우

서울대학교 의과대학 신경과학교실

Neurosarcoidosis Presenting as Spinal Nerve Root Pain of Trunk

Su-Hyun Kim

Department of Neurology, Seoul National University College of Medicine, Seoul, Korea

Abstract

A 60-year-old man developed severe pain and numbness around the trunk 4 months prior to admission. On examination he showed multiple cranial neuropathies. Girdle-like paresthesia and facial diplegia prompted a possible diagnosis of neurosarcoidosis. Chest computed tomography demonstrated bilateral hilar and mediastinal lymphadenopathy, and histological findings were consistent with sarcoidosis. These observations indicate that it is important to pay attention to neurosarcoidosis when patients show unknown spinal root pain, even though this is a rare condition. Key Words: Sarcoidosis, Spinal nerve roots, Pain