Neurosarcoidosis Presenting as Spinal Nerve Root Pain of Trunk

A 60-year-old man developed severe pain and numbness around the trunk 4 months prior to admission. On examination he showed multiple cranial neuropathies. Girdle-like paresthesia and facial diplegia prompted a possible diagnosis of neurosarcoidosis. Chest computed tomography demonstrated bilateral hilar and mediastinal lymphadenopathy, and histological findings were consistent with sarcoidosis. These observations indicate that it is important to pay attention to neurosarcoidosis when patients show unknown spinal root pain, even though this is a rare condition.