Solitary intramedullary neurosarcoidosis: Role of MRI in early detection

Background. Intramedullary neurosarcoidosis may be the first manifestation of the disease and may mimic a tumor clinically and radiographically. Two p atients who presented: with cervical intramedullary lesions on magnetic res onance imaging: (MRI) scans were found to have neurosarcoidosis. Clinical p resentation. Two patients with negative past medical history presented with progressive myelopathic features, and intramedullary cervical lesions were detected on MRI scan; the diagnosis was made on biopsy of the lesions. Ear ly therapeutic intervention ted to a favorable outcome. Conclusion. Infra-m edullary neurosarcoidosis, especially in the cervical cord, can be the init ial presentation of the disease, mimicking a tumor, MRI scan, biopsy, and, in: fewer cases, angiotensin-converting enzyme levels can help with the dia gnosis and may lead to a favorable outcome.