A recently described radiological feature known as the "trident sign," characterized by a symmetrical, dorsal subpial enhancement pattern on axial spinal MRI, may help distinguish sarcoidosis from other inflammatory myelopathies, including neuromyelitis optica spectrum disorders (NMOSD), myelin oligodendrocyte glycoprotein (MOG) antibody-associated disease (MOGAD), and multiple sclerosis [4]. This evidence concerns the gene MOG and neuromyelitis optica.