Symptomatic muscle involvement in neurosarcoidosis: a clinicopathological study of 5 cases

We report on the clinical course and histopathologic muscle alterations of five patients diagnosed with neurosarcoidosis, who underwent biopsy due to their muscle manifestations. The five patients were females and only one was less than 40 years of age. Proximal muscle weakness was presented by all...

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Main Authors: Rosana Herminia Scola, Lineu Cesar Werneck, Daniel Monte Serrat Prevedello, Priscila Greboge, Fábio Massaiti Iwamoto
Format: Article
Language:English
Published: Thieme Revinter Publicações 2001-06-01
Series:Arquivos de Neuro-Psiquiatria
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2001000300007&tlng=en
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author Rosana Herminia Scola
Lineu Cesar Werneck
Daniel Monte Serrat Prevedello
Priscila Greboge
Fábio Massaiti Iwamoto
author_facet Rosana Herminia Scola
Lineu Cesar Werneck
Daniel Monte Serrat Prevedello
Priscila Greboge
Fábio Massaiti Iwamoto
author_sort Rosana Herminia Scola
collection DOAJ
description We report on the clinical course and histopathologic muscle alterations of five patients diagnosed with neurosarcoidosis, who underwent biopsy due to their muscle manifestations. The five patients were females and only one was less than 40 years of age. Proximal muscle weakness was presented by all and only two patients complained of myalgia. Only normal values of serum muscle enzymes were detected. Electromyography revealed diverse findings such as normal, myopathic and neuropathic patterns. Granuloma was not present in one muscle biopsy. Two patients thoroughly recovered by taking only prednisone and one patient required a methotrexate addition for 3 months before becoming asymptomatic. The other two patients received azathioprine, one due to steroid side effects but without a satisfactory evolution, and the other to strengthen the prednisone régime, with excellent results.
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series Arquivos de Neuro-Psiquiatria
spelling doaj-art-01d28460ceea4e61a659f7c8a181239a2025-08-20T01:59:26ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-42272001-06-01592B34735210.1590/S0004-282X2001000300007Symptomatic muscle involvement in neurosarcoidosis: a clinicopathological study of 5 casesRosana Herminia Scola0Lineu Cesar Werneck1Daniel Monte Serrat Prevedello2Priscila Greboge3Fábio Massaiti Iwamoto4Universidade Federal do ParanáUniversidade Federal do ParanáUniversidade Federal do ParanáUniversidade Federal do ParanáUniversidade Federal do ParanáWe report on the clinical course and histopathologic muscle alterations of five patients diagnosed with neurosarcoidosis, who underwent biopsy due to their muscle manifestations. The five patients were females and only one was less than 40 years of age. Proximal muscle weakness was presented by all and only two patients complained of myalgia. Only normal values of serum muscle enzymes were detected. Electromyography revealed diverse findings such as normal, myopathic and neuropathic patterns. Granuloma was not present in one muscle biopsy. Two patients thoroughly recovered by taking only prednisone and one patient required a methotrexate addition for 3 months before becoming asymptomatic. The other two patients received azathioprine, one due to steroid side effects but without a satisfactory evolution, and the other to strengthen the prednisone régime, with excellent results.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2001000300007&tlng=ensarcoidosismyositisgranulomacentral nervous system diseases
spellingShingle Rosana Herminia Scola
Lineu Cesar Werneck
Daniel Monte Serrat Prevedello
Priscila Greboge
Fábio Massaiti Iwamoto
Symptomatic muscle involvement in neurosarcoidosis: a clinicopathological study of 5 cases
Arquivos de Neuro-Psiquiatria
sarcoidosis
myositis
granuloma
central nervous system diseases
title Symptomatic muscle involvement in neurosarcoidosis: a clinicopathological study of 5 cases
title_full Symptomatic muscle involvement in neurosarcoidosis: a clinicopathological study of 5 cases
title_fullStr Symptomatic muscle involvement in neurosarcoidosis: a clinicopathological study of 5 cases
title_full_unstemmed Symptomatic muscle involvement in neurosarcoidosis: a clinicopathological study of 5 cases
title_short Symptomatic muscle involvement in neurosarcoidosis: a clinicopathological study of 5 cases
title_sort symptomatic muscle involvement in neurosarcoidosis a clinicopathological study of 5 cases
topic sarcoidosis
myositis
granuloma
central nervous system diseases
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2001000300007&tlng=en
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AT danielmonteserratprevedello symptomaticmuscleinvolvementinneurosarcoidosisaclinicopathologicalstudyof5cases
AT priscilagreboge symptomaticmuscleinvolvementinneurosarcoidosisaclinicopathologicalstudyof5cases
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