Abstract
A 46-year-old woman suffered from unbearable tightness in the chest and difficulty in closing her eyes for over 1.5 months. A neurological examination revealed V1, 2 and facial nerve palsies, absent patellar and Achilles tendon reflexes, a positive Lasegue sign and girdle sensation corresponding to the Th2-8 dermatomes. Blood tests, including measurements of the angiotensin-converting enzyme level, were all normal. Brain and spinal magnetic resonance imaging showed no intramedullary spinal lesions; however, remarkable gadolinium enhancement of the Th2-7 dorsal roots (Picture), both trigeminal nerve entries and right geniculate ganglion was noted. Non-caseating epithelioid cell granuloma formation
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