Spinal cord granulomatous vasculitis: an unusual clinical presentation of sarcoidosis
Diri, E.; Espinoza, C.G.; Espinoza, L.R.
Journal of Rheumatology 26(6): 1408-1410
1999
ISSN/ISBN: 0315-162X PMID: 10381066 Document Number: 504037
A 52-year-old Caucasian man presented with isolated manifestations of myelopathy. Cervical magnetic resonance imaging showed a focus of increased signal intensity at the posterolateral left half of C5 and C6. Biopsy of spinal cord revealed the presence of active vasculitis associated with noncaseating granulomas. The patient responded to the combination of methotrexate (MTX) and corticosteroid treatment. Low-dose MTX was an effective, steroid-sparing regimen. This is a rare condition of isolated spinal cord involvement associated with sarcoid vasculitis.