Rapid-Onset Thoracic Myelopathy due to an Epidural Sarcoid-Like Lesion in a Pediatric Patient.
BACKGROUND
Isolated intraspinal neurosarcoidosis is a rare clinical entity, with most reports describing intramedullary involvement in adults.


CASE DESCRIPTION
We detail the case of a 9-year-old girl with rapid-onset compressive myelopathy secondary to a thoracic epidural lesion. Although pathologic diagnosis was challenging, a presumptive diagnosis of isolated extradural neurosarcoidosis was made in light of the patient's investigations and dramatic response to corticosteroids.


CONCLUSIONS
Although less likely than neoplasia, rheumatologic processes such as inflammatory granulomatous disease warrant consideration in similar cases.
['Galgano|Michael A|MA|', 'Goulart|Carlos R|CR|', 'Chisholm|Karen|K|', 'Hazen|Melissa|M|', 'Stone|Scellig|S|']
D000305:Adrenal Cortex Hormones D002493:Central Nervous System Diseases D002648:Child D003937:Diagnosis, Differential D004824:Epidural Space D005260:Female D006801:Humans D007796:Laminectomy D012507:Sarcoidosis D013118:Spinal Cord Diseases D013904:Thoracic Vertebrae
Isolated intraspinal neurosarcoidosis Neurosarcoidosis Rheumatology Inflammatory granulomatous disease Spine