Cervical extramedullary mass: histology unknown

Case contributed by Dr Vinay Shah

Presentation

Complaining of both upper and lower limbs.

Patient Data

Age: 25 years
Gender: Male

There is well defined extra medullary hyperintense signal intensity lesion seen on the T2W images in the spinal canal from cervico-medullary junction to C2 vertebral level on left side. The lesion is seen involving the spinal canal, left C1-C2 neural foramina and extending out side the neural foramina at left paravertebral region . The lesion causes compression and right lateral displacement over the cervical spinal cord. There is enlargement of the left C1-C2 neural foramina. The lesion measures approx. 3.0 (SI) x 2.1 (AP) x 4.0 (TR) cm in size.

 Hyperintense signal is seen on the T2W images in the spinal cord at C2 vertebral level, may represent cord edema / gliosis.

Small hyperintense signal lesion seen on the STIR images in the right paravertebral region adjacent to D1-D2, D2-D3 neural foramina. 

Case Discussion

These findings represent extramedullary neoplastic lesions like nerve sheath tumor (e.g. neurofibroma/schwannoma).

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Case information

rID: 20762
Case created: 10th Dec 2012
Last edited: 8th Feb 2017
Tag: spine
Inclusion in quiz mode: Included

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