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dc.contributor.authorPegat, Benoit
dc.contributor.authorDrapier, Sophie
dc.contributor.authorMorandi, Xavier
dc.contributor.authorEdan, Gilles
dc.date.accessioned2015-09-01T18:17:15Z
dc.date.available2015-09-01T18:17:15Z
dc.date.issued2015-07-30
dc.identifier.citationBMC Neurology. 2015 Jul 30;15(1):123
dc.identifier.urihttp://dx.doi.org/10.1186/s12883-015-0373-6
dc.identifier.urihttp://hdl.handle.net/10724/31983
dc.description.abstractAbstract Background Central nervous system bleeding is a rare complication of neurosarcoidosis: only 18 cases of spontaneous cerebral hematoma have been reported. We present the first recorded case of spinal cord hemorrhage in neurosarcoidosis. Case presentation A 48-year-old Caucasian woman had relapsing neurosarcoidosis for 5 years, with inflammatory spinal and cerebral lesions. While on 20 mg corticosteroids, she experienced subacute paraparesia with right leg pain. A spine MRI revealed a low thoracic hematomyelia at the T10-T11 level. Despite high doses of corticosteroids, her condition continued to worsen. Surgical evacuation of the hematoma was performed 10 days after the onset of bleeding, and she partially recovered. Conclusion This report highlights the possibility of spinal cord hemorrhage secondary to sarcoid vasculitis. The patient improved after surgical evacuation of the intramedullary hematoma. Immuno-modulating agents must be envisaged in severe neurosarcoidosis, to prevent complications.
dc.titleSpinal cord hemorrhage in a patient with neurosarcoidosis on long-term corticosteroid therapy: case report
dc.typeJournal Article
dc.date.updated2015-07-30T04:15:25Z
dc.language.rfc3066en
dc.rights.holderPegat et al.


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