LEFT LOWER LIMB PARESIS SECONDARY TO SYMPTOMATIC SPINAL CORD LESION AS THE INAUGURAL MANIFESTATION OF SARCOIDOSIS: CASE REPORT WITH REVIEW OF LITERATURE.

Abstract

Sarcoidosis is a granulomatous disease that mainly affects the lungs. The specic histopathological ndings in sarcoidosis are epithelioid and gigantocellular granulomas without caseous necrosis. The lung is the most commonly affected organ, with extrapulmonary involvement occurring in about half of sarcoidosis patients. Sarcoidosis can affect any organ, and when patients present with central or peripheral nervous system involvement, they are diagnosed with neurosarcoidosis. Sarcoidosis-associated myelopathy (SAM) has been described in patients with sarcoidosis, and the clinical and radiological manifestations are diverse and non-specic. The diagnosis of SAM can be very difcult due to multiple mimickers that can cause similarity in clinical and radiological features. Here we report the case of a 51-year-old woman with a history of diabetes who presented with slight and progressive left lower limb decit with sensory complaints in four limbs secondary to an extensive and tumefactive lesion in the cervico-thoracic region of the spinal cord related to sarcoidosis.