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AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

Research ArticleSpine Imaging and Spine Image-Guided Interventions

Spinal Cord Sarcoidosis Occurring at Sites of Spondylotic Stenosis, Mimicking Spondylotic Myelopathy: A Case Series and Review of the Literature

R.M. Kurtz, V.D. Babatunde, J.E. Schmitt, J.R. Berger and S. Mohan
American Journal of Neuroradiology January 2023, 44 (1) 105-110; DOI: https://doi.org/10.3174/ajnr.A7724
R.M. Kurtz
aFrom the Departments of Radiology (R.M.K., V.D.B., J.E.S., S.M.)
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V.D. Babatunde
aFrom the Departments of Radiology (R.M.K., V.D.B., J.E.S., S.M.)
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  • ORCID record for V.D. Babatunde
J.E. Schmitt
aFrom the Departments of Radiology (R.M.K., V.D.B., J.E.S., S.M.)
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J.R. Berger
bNeurology (J.R.B.), Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania
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S. Mohan
aFrom the Departments of Radiology (R.M.K., V.D.B., J.E.S., S.M.)
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    FIG 1.

    A 31-year-old man with 6 months of progressively worsening bilateral arm and leg weakness and numbness. Sagittal T2-weighted (A) image shows a prominent disc osteophyte complex at C3–4 with spinal canal stenosis and long-segment cord signal abnormality. There is focal cord enhancement centered just below the level of compression on postcontrast sagittal (B) and axial T1-weighted (C) sequences, with involvement of the peripheral cord and relative sparing of the central GM. There is persistent-but-decreased cord signal abnormality and enhancement at the 23-month follow-up on sagittal T2-weighted (D) and postcontrast T1-weighted (E) sequences. Noncontrast chest CT at presentation (F) shows bilateral hilar adenopathy.

  • FIG 2.
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    FIG 2.

    A 35-year-old man with 1 month of progressively worsening lower-extremity weakness, paresthesia, and difficulty with ambulation. Sagittal T2-weighted (A) image shows a disc extrusion at T6–7, with long-segment cord signal abnormality centered at this level. Postcontrast sagittal (B) and axial T1-weighted (C) sequences demonstrate focal cord enhancement at the level of the disc extrusion. CT myelogram (D) performed for further evaluation of the cord abnormality shows marked bilateral hilar adenopathy.

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American Journal of Neuroradiology: 44 (1)
American Journal of Neuroradiology
Vol. 44, Issue 1
1 Jan 2023
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R.M. Kurtz, V.D. Babatunde, J.E. Schmitt, J.R. Berger, S. Mohan
Spinal Cord Sarcoidosis Occurring at Sites of Spondylotic Stenosis, Mimicking Spondylotic Myelopathy: A Case Series and Review of the Literature
American Journal of Neuroradiology Jan 2023, 44 (1) 105-110; DOI: 10.3174/ajnr.A7724

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Spinal Sarcoidosis and Spondylotic Stenosis
R.M. Kurtz, V.D. Babatunde, J.E. Schmitt, J.R. Berger, S. Mohan
American Journal of Neuroradiology Jan 2023, 44 (1) 105-110; DOI: 10.3174/ajnr.A7724
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