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January 1997, Vol 123, No. 1 >
ARTICLE | January 1997

RESIDENT'S PAGE: IMAGING FREE

R. NICK BRYAN, MD; S. JAMES ZINREICH, MD
Arch Otolaryngol Head Neck Surg. 1997;123(1):110-113. doi:10.1001/archotol.1997.01900010120020
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Imaging Quiz Case 1  Mukesh Prasad; John K. Niparko, MD; Baltimore, MdA 50-year-old African American man presented with numbness along the lateral aspect of his right foot that gradually worsened over a 4-month period. A magnetic resonance imaging (MRI) scan was suggestive of a cauda equina tumor, for which the patient underwent an L4-5 hemilaminectomy. No gross abnormality was seen, and histologic examination revealed only fibrous scarring. Postoperatively, the patient experienced numbness involving the left leg and buttocks. One month later he experienced a right-sided facial weakness, diplopia with gaze to the right, decreased sensation to temperature along the lateral aspect of the right foot, and intermittent episodes of vertigo. He denied associated fever, rash, facial numbness, and lymphadenopathy. Two months of treatment with dexamethasone (Decadron) did not change his symptoms. An MRI scan was performed (Figure 1 and Figure 2). Based on the results, the patient underwent a

REFERENCES

1 +
Tozman EC.  Sarcoidosis: clinical manifestations, epidemiology, therapy, and pathophysiology . Curr Opin Rheumatol. 1991;;3:155-159.
2 +
Agbogu BN. Stern BJ, Sewell C, Yang G.  Therapeutic considerations in patients with refractory neurosarcoidosis . Arch Neurol. 1995;;52:875-879.
3 +
Sharma OP, Sharma AM.  Sarcoidosis of the nervous system: a clinical approach . Arch Intern Med. 1991;;151:1317-1321.
4 +
Bell NH.  Endocrine complications of sarcoidosis . Endocrinol Metab Clin North Am. 1991;;20:645-654.
5 +
O'Brien GM, Baughman RP, Broderick JP, Arnold L, Lower EE.  Paranoid psychosis due to neurosarcoidosis . Sarcoidosis . 1994;;11:34-36.
6 +
Sabaawi M, Gutierrex-Nunez J, Fragala MR.  Neurosarcoidosis presenting as schizophreniform disorder . Int J Psychiatry Med. 1992;;22:269-274.
7 +
Scott TF.  Neurosarcoidosis: progress and clinical aspects . Neurology . 1993;; 43:8-12.
8 +
Zouaoui A, Maillard JC, Dormont D, Chiras J, Marsault C.  MRI in neurosarcoidosis . J Neuroradiol. 1992;;19:271-284.
9 +
Stern BJ, Schonfeld SA, Sewell C, Krumholz A, Scott P.  Belendiuk G. The treatment of neurosarcoidosis with cyclosporine . Arch Neurol. 1992;;49:1065-1072.
10 +
Jones WA.  Familial multilocular cystic disease of the jaws . Am J Cancer . 1933;; 17:946-950.
11 +
Chomette G, Auriol M.  Cherubism: histoenzymological and ultrastructural study . Int J Oral Maxillofac Surg. 1988;;17:219-223.
12 +
Thompson N.  Cherubism: familial fibrous dysplasia of the jaws . Br J Plast Surg. 1959;;12:89-103.
13 +
Peters WJN.  Cherubism: a study of twenty cases from one family . Oral Surg. 1979;;47:307-311.
14 +
McClendon JL, Anderson DE, Cornelius EA.  Cherubism: hereditary fibrous dysplasia of the jaws, II: pathological considerations . Oral Surg. 1962;;15( (suppl 2) ):17-40.
15 +
Anderson DE, McClendon JL.  Cherubism: hereditary fibrous dysplasia of the jaws, I: genetic considerations . Oral Surg. 1962;;15( (suppl 2) ):5-15.
16 +
Katz JO, Dunlap CL, Ennis RL.  Cherubism: report of a case showing regression without treatment . J Oral Maxillofac Surg. 1992;;50:301-303.
17 +
Katz JO, Underhill TE.  Multilocular radiolucencies . Dent Clin North Am. 1994;; 38:63-81.
18 +
Ramon Y, Engelberg IS.  An unusually extensive case of cherubism . J Oral Maxillofac Surg. 1986;;44:325-328.
19 +
Kaugers GE, Niamtu J, Svirsky JA.  Cherubism: diagnosis, treatment, and comparison with central giant cell granulomas and giant cell tumors . Oral Surg Oral Med Oral Pathol. 1992;;73:369-374.
20 +
Thomas KH.  Cherubism and other intraosseous giant cell lesions . Oral Surg. 1962;;15( (suppl 2) ):1-4.
21 +
Batsakis JG. Tumors of the Head and Neck: Clinical and Pathological Considerations . 2nd ed. Baltimore, Md: Williams & Wilkins; 1979;:402-405.

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1 +
Tozman EC.  Sarcoidosis: clinical manifestations, epidemiology, therapy, and pathophysiology . Curr Opin Rheumatol. 1991;;3:155-159.
2 +
Agbogu BN. Stern BJ, Sewell C, Yang G.  Therapeutic considerations in patients with refractory neurosarcoidosis . Arch Neurol. 1995;;52:875-879.
3 +
Sharma OP, Sharma AM.  Sarcoidosis of the nervous system: a clinical approach . Arch Intern Med. 1991;;151:1317-1321.
4 +
Bell NH.  Endocrine complications of sarcoidosis . Endocrinol Metab Clin North Am. 1991;;20:645-654.
5 +
O'Brien GM, Baughman RP, Broderick JP, Arnold L, Lower EE.  Paranoid psychosis due to neurosarcoidosis . Sarcoidosis . 1994;;11:34-36.
6 +
Sabaawi M, Gutierrex-Nunez J, Fragala MR.  Neurosarcoidosis presenting as schizophreniform disorder . Int J Psychiatry Med. 1992;;22:269-274.
7 +
Scott TF.  Neurosarcoidosis: progress and clinical aspects . Neurology . 1993;; 43:8-12.
8 +
Zouaoui A, Maillard JC, Dormont D, Chiras J, Marsault C.  MRI in neurosarcoidosis . J Neuroradiol. 1992;;19:271-284.
9 +
Stern BJ, Schonfeld SA, Sewell C, Krumholz A, Scott P.  Belendiuk G. The treatment of neurosarcoidosis with cyclosporine . Arch Neurol. 1992;;49:1065-1072.
10 +
Jones WA.  Familial multilocular cystic disease of the jaws . Am J Cancer . 1933;; 17:946-950.
11 +
Chomette G, Auriol M.  Cherubism: histoenzymological and ultrastructural study . Int J Oral Maxillofac Surg. 1988;;17:219-223.
12 +
Thompson N.  Cherubism: familial fibrous dysplasia of the jaws . Br J Plast Surg. 1959;;12:89-103.
13 +
Peters WJN.  Cherubism: a study of twenty cases from one family . Oral Surg. 1979;;47:307-311.
14 +
McClendon JL, Anderson DE, Cornelius EA.  Cherubism: hereditary fibrous dysplasia of the jaws, II: pathological considerations . Oral Surg. 1962;;15( (suppl 2) ):17-40.
15 +
Anderson DE, McClendon JL.  Cherubism: hereditary fibrous dysplasia of the jaws, I: genetic considerations . Oral Surg. 1962;;15( (suppl 2) ):5-15.
16 +
Katz JO, Dunlap CL, Ennis RL.  Cherubism: report of a case showing regression without treatment . J Oral Maxillofac Surg. 1992;;50:301-303.
17 +
Katz JO, Underhill TE.  Multilocular radiolucencies . Dent Clin North Am. 1994;; 38:63-81.
18 +
Ramon Y, Engelberg IS.  An unusually extensive case of cherubism . J Oral Maxillofac Surg. 1986;;44:325-328.
19 +
Kaugers GE, Niamtu J, Svirsky JA.  Cherubism: diagnosis, treatment, and comparison with central giant cell granulomas and giant cell tumors . Oral Surg Oral Med Oral Pathol. 1992;;73:369-374.
20 +
Thomas KH.  Cherubism and other intraosseous giant cell lesions . Oral Surg. 1962;;15( (suppl 2) ):1-4.
21 +
Batsakis JG. Tumors of the Head and Neck: Clinical and Pathological Considerations . 2nd ed. Baltimore, Md: Williams & Wilkins; 1979;:402-405.

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