"A Girdle-like Tightening Sensation" Misapprehended as Abdominal Splanchnopathy in a Sarcoidosis Patient

Abstract

We describe a 53-year-old man with the isolated manifestation of girdle-like tightening sensation of the trunk due to polyradiculopathy at the beginning of sarcoidosis which was first misapprehended as abdominal splanchnopathy. Late development of other neurological and systemic symptoms led to the final diagnosis of sarcoidosis. Segmental dysesthesia at the trunk in neurosarcoidosis is unique and may mimic a splanchnic pain.

sarcoidosis and digesTiVe sysTem organs inVol VemenT

“…Так сотрудники цереброваскулярного центра г. Осака (Япония) описали 53-летнего мужчину, у которого были жалобы на тянущие и сжимающие ощущения в туловище вследствие полирадикулопатии во время дебюта сар-коидоза, который изначально ошибочно приняли за аб-доминальную спланхнопатию. Развитие в последующем других неврологических и системных симптомов привело к окончательному диагнозу: саркоидоз [1]. Поражение полостных органов при саркоидозе встречается редко.…”

"The Invisible Corset": A Rare Manifestation of Neurosarcoidosis

“…MRI performed six months after treatment initiation showed improvement in the abnormal findings ( Picture b ). The unique “girdle sensation”, often described as a tightening sensation in the trunk, is rare but has been reported in multiple sclerosis, diabetic thoracic radiculopathy, and sarcoid polyradiculopathy ( 1 , 2 ). This case highlights the emerging usefulness of coronal gadolinium-enhanced MRI for evaluating sarcoid polyradiculopathy.…”