Spinal cord sarcoidosis: A diagnostic dilemma

Sarcoidosis is a chronic disorder of unknown etiology characterized by the development of non-caseating granulomas with derangement of the normal tiss ue architecture. Compromise of the spinal cord is one of the rarest neurolo gic manifestations of the disease, which may be clinically and radiological ly indistinguishable from a spinal cord malignant tumor. However, neurosarc oidosis can be treated with steroids. This study reviews the clinical, radi ological, and pathological features of the sarcoid compromise of the spinal cord, emphasizing the difficulties commonly encountered in making a diagno sis.