Progressive cervical myelopathy as presentation of sarcoidosis.
Progressive cervical myelopathy as presentation of sarcoidosis.
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进行性脊髓型颈椎病表现为结节病。
DOI：
10.1007/s11606-012-2315-y
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发表时间：
2013
影响因子：
5.7
通讯作者：
Henderson,MarkC
中科院分区：
文献类型：
--
作者：
Price,David;Harper,Richart;Henderson,MarkC
一位44岁的非裔美国女性入院治疗，她的胸部有四个月的间歇性“休克样”感觉，辐射至双臂；就在入院前，她出现了左臂无力。颈椎核磁共振成像(MRI)显示从C1到T1髓内强化(图1图a)。神经学检查显示左侧腕屈伸肌4/5力量，从C5到T5双侧轻触和针刺感觉减少，从T1到T3双侧痛觉过敏。胸部X线片显示肺门结节病变。血清血管紧张素转换酶水平为191U/L(正常9~67)。腰椎穿刺术的蛋白质含量为54 mg/dl(正常15-45)，血糖为30 mg/dl(正常45-80；
A 44-year-old African-American woman was admitted with four months of intermittent “shock-like” sensations in her chest radiating to both arms; she developed left arm weakness just prior to admission. A cervical spine magnetic resonance imaging (MRI) demonstrated intramedullary enhancement from C1 to T1 (Fig. 1 Panel a).Neurologic examination showed 4/5 strength of left wrist flexors and extensors, decreased bilateral light touch and pinprick sensation from C5 to T5, and hyperalgesia bilaterally from T1 to T3. Chest x-ray showed hilar adenopathy. Serum angiotensin converting enzyme level was 191 U/L (normal 9–67). Lumbar puncture was remarkable for a protein of 54 mg/dl (normal 15–45) and glucose of 30 mg/dl (normal 45–80;