Neurofibromatosis type 2 - cranial and spinal involvement

Case contributed by Frank Gaillard
Diagnosis almost certain

Presentation

No presenting history provided.

Patient Data

Age: Young adult
Gender: Female

Thoracolumbar x-rays

x-ray
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Info

Acute thoracolumbar kyphosis is associated with a large right sided thoracic mass. 

This study is a stack
Sagittal
T2
This study is a stack
Sagittal
T2
This study is a stack
Axial
T1 C+
This study is a stack
Coronal T1
C+ fat sat
This study is a stack
Coronal T1
C+ fat sat
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Info

The mass seen on x-ray can be seen to be dumb-bell shaped, passing into the spinal canal. Numerous other similar masses are also noted. 

Axial
T1
This study is a stack
Axial
T2
Axial
FLAIR
This study is a stack
Coronal
T1 C+
This study is a stack
Axial
T1 C+
This study is a stack
Sagittal
T1 C+
Axial
DWI
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Info

Large bilateral masses extending into the internal acoustic meati (bilaterally) and Meckel's cave (right side) are noted, resulting in marked distortion of the brainstem.

Case Discussion

Young woman with very extensive NF2 disease burden.

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