Neurofibromatosis type 1 - with neurofibroma of lumbar spine
Presented with slowly progressive paraplegia of 8 months duration with loss of bladder control for last two months.
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Dumbell shaped multiple tumors (Neurofibromas) opposite T11, T12 and L1 vertebral bodies and extending through the neural foramina.
MR study with contrast was done which showed uniform enhancement favoring the diagnosis of neurofibroma.
Location: spinal cord (Schwanomas occur more intracranially)
Number: multiple (Schwanomas occur more as single)
Contrast Enhancement: uniform (Schwanomas show peripheral enhancement) favors the diagnosis of neurofibroma.
Patient was consulted to have a genetic analysis study and referred to neurosurgery.