File:Cervical spinal neurofibroma in a patient with NF1 (Radiopaedia 58344-65465 Sagittal T1 7).jpg

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Cervical_spinal_neurofibroma_in_a_patient_with_NF1_(Radiopaedia_58344-65465_Sagittal_T1_7).jpg ‎(384 × 384 pixels, file size: 50 KB, MIME type: image/jpeg)

Summary:

Description
  • Radiopaedia case ID: 58344
  • Image ID: 35925266
  • Image stack position: 7/11
  • Plane projection: Sagittal
  • Aux modality: T1
  • Study findings: The previously described intraspinal and extraspinal mass appears heterogeneous on T1/T2. It is mainly T1 hyperintense and markedly T2 hypointense with susceptibility artefacts, suggesting the presence of blood products. The presence of internal blood products is also demonstrated on GRE. There is heterogeneous enhancement of the mass but intrinsic T1 hyperintense signal makes this more difficult to assess. There is marked mass effect/compression of the cervical cord with rightward deviation. There is proximal occlusion of the proximal left vertebral artery. The examination confirms dural ectasia.
  • Modality: MRI
  • System: Spine
  • Findings: There is a large solid intraspinal and extraspinal mass centered at the left C4/C5 foramen also extending in the left C5/C6 foramen. It extends cephalocaudally from C2 to C6. It causes marked rightward displacement of the cervical cord as it extends within the spinal canal and occupies more than 50% of the surface. There is scalloping of the adjacent bone, suggesting a longstanding mass. There are peripheral calcifications in its anterior aspect, most likely due to bone remodeling (transverse foramen) that actual tumoral calcifications. There is loss of the normal cervical lordosis with scalloping of posterior vertebral bodies below the tumor mass, suggesting the possibility of dural ectasia.
Date Published: 13th Feb 2018
Source https://radiopaedia.org/cases/cervical-spinal-neurofibroma-in-a-patient-with-nf1
Author Maxime St-Amant
Permission
(Permission-reusing-text)		 http://creativecommons.org/licenses/by-nc-sa/3.0/

Licensing:

Attribution-NonCommercial-ShareAlike 3.0 Unported (CC BY-NC-SA 3.0)

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