A CASE REPORT OF RECURRENT SPINAL LESION WITH RETINAL VASCULITIS - UNCOMMON PRESENTATION OF COMMON DISEASE

Abstract

Intramedullary neurosarcoidosis /tuberculosis may be the first and only manifestation of the disease and clinical course may mimic an idiopathic inflammatory demyelinating syndrome both clinically and on neuroimaging results. We report a case of 26 yrs. old male with recurrent episodes of vision loss due to retinal vasculitis and urinary incontinence with paraparesis due to spinal intramedullary granulomatous lesion probably neurosarcoidosis or tuberculosis. A high index of suspicion and a search for granulomatous lesion at extraneural sites are required for an early diagnosis. Even in the absence of systemic symptoms, targeting sites other than neural tissue for potential biopsy can result in the identification of the disease process with substantially less morbidity than sampling neural tissue. A high index of suspicion for the diagnosis is required because early intervention is associated with a favourable outcome.

Keywords: Eales disease, Retinal vasculitis, spinal intramedullary lesion