Solitary Cavernous Sinus Neurosarcoidosis Mimicking Neurosyphilis
Journal of Korean Neurosurgical Society
;
: 61-63, 2014.
Artículo
en Inglés
| WPRIM
| ID: wpr-53773
ABSTRACT
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.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Sarcoidosis
/
Biopsia
/
Encéfalo
/
Dolor Facial
/
Prednisolona
/
Imagen por Resonancia Magnética
/
Sífilis
/
Seno Cavernoso
/
Estudios de Seguimiento
/
Diagnóstico Diferencial
Tipo de estudio:
Estudio diagnóstico
/
Estudio observacional
/
Estudio pronóstico
Límite:
Humanos
Idioma:
Inglés
Revista:
Journal of Korean Neurosurgical Society
Año:
2014
Tipo del documento:
Artículo
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