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A 55 year old woman was admitted to our hospital for progressive spastic paraparesis in March 2005. She had no history of systemic disease including sarcoidosis. Cerebrospinal fluid examination showed pleocytosis and increased protein levels. Gadolinium enhanced, T1 weighted, magnetic resonance imaging (MRI) performed at the time disclosed diffuse meningeal enhancement from the cerebral basal cistern including the pituitary stalk (fig 1A), brain stem to the spinal cord, and the nodular lesions …
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