CC BY-NC-ND 4.0 · J Neurol Surg Rep 2022; 83(03): e119-e122
DOI: 10.1055/a-1929-5265
Case Report

Acute Venous Congestive Myelopathy in a Patient with Neurosarcoidosis

1   Department of Neurosurgery, Capital and Coast District Health Board, Wellington Regional Hospital, Newtown, Wellington, New Zealand
› Author Affiliations


There is a range of differential diagnoses for intramedullary lesions of the conus medullaris, both neoplastic and non-neoplastic. There is a limited role for surgery in a large proportion of these diagnoses, and operative risks can outweigh any benefits of surgery. Here a case is presented of a patient referred to a neurosurgical center for a biopsy of a presumed neoplastic conus tumor. However, through the collaboration of a multidisciplinary team, further diagnoses were considered. After thorough investigation, two conditions were diagnosed: venous congestive myelopathy secondary to inferior vena cava agenesis and spinal neurosarcoidosis. This case demonstrates the importance of neurosurgeons retaining a high degree of suspicion for alternative diagnosis to avoid unnecessary surgical risk.

Publication History

Received: 14 June 2022

Accepted: 12 August 2022

Accepted Manuscript online:
23 August 2022

Article published online:
29 September 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany