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This case report identifies a young patient who initially presented to a New York City hospital complaining of weakness and incidentally found to have a cervical spine lesion. An extensive workup diagnosed the lesion as a non-caseating granuloma, consistent with neurosarcoidosis.The patient had also been suspected to have TB meningitis given his unclear history of a past untreated positive PPD test. Before final discharge, the patient’s condition had some improvement with steroid treatment and rehabilitation.
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