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Case Reports
. 2018 Jul 10;6(9):1718-1722.
doi: 10.1002/ccr3.1712. eCollection 2018 Sep.

Application of the modified Zajicek criteria to diagnose probable spinal cord neurosarcoidosis

Ceris Ifan Owen  1 , Farrah Jabeen  2 , Anupam Bhattacharjee  3
Affiliations
Case Reports

Application of the modified Zajicek criteria to diagnose probable spinal cord neurosarcoidosis

Ceris Ifan Owen et al. Clin Case Rep. .

Abstract

Neurosarcoidosis represents a significant diagnostic challenge, as clinical features overlap with other neuroinflammatory conditions, and biopsy of affected neuronal tissue is often high risk or not feasible. Here we highlight application of the modified Zajicek criteria to diagnose probable spinal neurosarcoidosis in the absence of histology from affected neuronal tissue.

Keywords: acute medicine; neurology; respiratory medicine; sarcoidosis.

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Figures

Figure 1
Figure 1
MR Imaging of Lumbar Spine. A, T2‐weighted sagittal images of the lumbar spine (no enhancement); multiple diffuse low signal nodular lesions involving the cauda equina. B, T1‐weighted postgadolinium coronal imaging of the lumbar spine; diffuse nodular enhancement of the cauda equina
Figure 2
Figure 2
FDG‐PET Imaging. A, Intense metabolic activity associated with pathological mediastinal and bihilar lymphadenopathy. B, Multifocal FDG avid liver lesions. C, Intense focal tracer uptake within the spinal canal compatible with nodular enhancing MR lesions
See this image and copyright information in PMC

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