• Title/Summary/Keyword: A University

Search Result 547,841, Processing Time 0.248 seconds

Solitary Cavernous Sinus Neurosarcoidosis Mimicking Neurosyphilis

  • Kim, Dong Ha;Cho, Won Ho;Cho, Kyu Sup;Cha, Seong Heon
    • Journal of Korean Neurosurgical Society
    • /
    • v.55 no.1
    • /
    • pp.61-63
    • /
    • 2014
  • 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.