Solitary Cavernous Sinus Neurosarcoidosis Mimicking Neurosyphilis
Journal of Korean Neurosurgical Society
; : 61-63, 2014.
Artigo
em Inglês
| WPRIM (Pacífico Ocidental)
| ID: wpr-53773
Biblioteca responsável:
WPRO
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:
Disponível
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Sarcoidose
/
Biópsia
/
Encéfalo
/
Dor Facial
/
Prednisolona
/
Imageamento por Ressonância Magnética
/
Sífilis
/
Seio Cavernoso
/
Seguimentos
/
Diagnóstico Diferencial
Tipo de estudo:
Estudo diagnóstico
/
Estudo observacional
/
Estudo prognóstico
Limite:
Humanos
Idioma:
Inglês
Revista:
Journal of Korean Neurosurgical Society
Ano de publicação:
2014
Tipo de documento:
Artigo