Presentation
Paraparesis
Patient Data
Age: 30 years
Gender: Female
From the case:
Spinal schwannoma
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A large intra-dural extra-medullary dumbbell soft tissue mass, extending through a widened left T8-T9 exit foramen with moderate enhancement and areas of central necrosis. Associated adjacent bony remodeling of the borders of the neuroforamen and dorsal contour of the T8 vertebral body.
From the case:
Spinal schwannoma
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The previously described soft tissue mass shows an iso-intense signal on T1WI and T2WI with central areas of high signal on T2WI. On post-contrast sequences, there is an intense and heterogeneous enhancement. The adjacent segment of the spinal cord is compressed and displaced to the right with no sign of compressive myelopathy.
Case Discussion
MRI features are highly suggestive of a neurogenic tumor, most likely schwannoma.
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