Cervical nerve schwannoma

Case contributed by Dr Ian Bickle

Presentation

Small persistent palpable nodule in the right side of the lower neck.

Patient Data

Age: 55 years old
Gender: Male
Modality: MRI

1.4cm well defined lesion with mild high T1, hyperintense T2 signal which is homegenously avidly enhancing at the root of the right side of the neck.

The lesion has a 'dumb-bell' appearance and can be traced along the a thickened cervical nerve root back to the exit foramen, confirming it is neuronal in origin.

Case Discussion

Schwannomas are benign nerve sheath based tumours.   Several sites in the body are most recognised, such as vestibular schwannomas at the CP angle.

This is a less common site and mimicked a cervical lymph node.  The MRI characteristics are identical regardless of location.

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Case Information

rID: 27964
Case created: 28th Feb 2014
Last edited: 13th Mar 2016
Inclusion in quiz mode: Included

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