Cervical schwannoma

Case contributed by Henry Knipe
Diagnosis almost certain

Presentation

Neck pain.

Patient Data

Age: 30 years
Gender: Male
ct
This study is a stack
Axial
non-contrast
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Axial bone
window
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Coronal
non-contrast
This study is a stack
Coronal
bone window
This study is a stack
Sagittal
non-contrast
This study is a stack
Sagittal
bone window
This study is a stack
This study is a stack
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Info

Large mass centered on the right C1/2 neural exit foramen with associated foraminal widening and bony erosion. 

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

Large mass centered on the right C1/2 neural exit foramen with associated foraminal widening and bony erosion. The mass has a "dumb bell" morphology and is isointense to brain on T1WI and T2WI with vivid post contrast enhancement. The spinal cord is displaced and compressed to the left. 

Case Discussion

The patient went on to surgical resection, and schwannoma was confirmed as the diagnosis on histopathology. 

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