This case report identifies a young patient who initially presented to a New York City hospital complaining of weakness and incidentallyfound 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. Beforefinal discharge, the patient’s condition had some improvement with steroid treatment and rehabilitation.
