Cervical dumbbell meningioma and bilateral acoustic schwannoma in a patient with neurofibromatosis type 2

Abstract

Cervical meningiomas and schwannomas are relatively common neoplasms of the central nervous system but cervical dumbbell meningioma and bilateral schwannoma in the same patient in neurofibromatosis type 2 are rare. We report a case of a 16-year-old girl who presented with a history of slowness in performance for 1 year, decreasing weight for the last 7 months and weakness of the left lower limb for 6 months. There was no café-au-lait spot noted. MR imaging revealed a cervical extradural tumor with bilateral foraminal extension at the C4-5 and bilateral cerebellopontine angle tumors. A diagnosis of neurofibromatosis type 2 was made. The histopathological examination revealed meningioma. Follow up examination with magnetic resonance imaging (MRI) of the brain and spinal cord in a patient with neurofibromatosis type 2 should be performed to detect the recurrent tumours at these sites.