Solitary Cavernous Sinus Neurosarcoidosis Mimicking Neurosyphilis
Journal of Korean Neurosurgical Society
;
: 61-63, 2014.
Article
in English
| 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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Sarcoidosis
/
Biopsy
/
Brain
/
Facial Pain
/
Prednisolone
/
Magnetic Resonance Imaging
/
Syphilis
/
Cavernous Sinus
/
Follow-Up Studies
/
Diagnosis, Differential
Type of study:
Diagnostic study
/
Observational study
/
Prognostic study
Limits:
Humans
Language:
English
Journal:
Journal of Korean Neurosurgical Society
Year:
2014
Type:
Article
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