Journal of Korean Neurosurgical Society

  • 제55권1호
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  • Pages.61-63
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  • 2014
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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Solitary Cavernous Sinus Neurosarcoidosis Mimicking Neurosyphilis

  • Kim, Dong Ha (Department of Neurosurgery, Pusan National University Hospital, Pusan National University School of Medicine) ;
  • Cho, Won Ho (Department of Neurosurgery, Pusan National University Hospital, Pusan National University School of Medicine) ;
  • Cho, Kyu Sup (Department of Otolaryngology, Pusan National University Hospital, Pusan National University School of Medicine) ;
  • Cha, Seong Heon (Department of Neurosurgery, Pusan National University Hospital, Pusan National University School of Medicine)
  • 투고 : 2013.01.24
  • 심사 : 2013.12.16
  • 발행 : 2014.01.28
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초록

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.

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참고문헌

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피인용 문헌

  1. Cerebrovascular Manifestations of Neurosarcoidosis: An Underrecognized Aspect of the Imaging Spectrum vol.39, pp.7, 2018, https://doi.org/10.3174/ajnr.a5492
  2. A Rare Case of Steroid-Resistant Neurosarcoidosis of the Cavernous Sinus With Optic Neuropathy: A Case Report vol.11, pp.4, 2014, https://doi.org/10.1177/1941874421993644