Abstract

Cervicomedullary tumors (CMTs) are rare intramedullary neoplasms located at the junction of the cervical spine and brainstem. Intra-axial tumors of this vital region are poorly defined by recent literature searches because brainstem gliomas and CMTs have been generally considered surgical inaccessible lesions due to their perceived high risk of neurological morbidity. The advent of MRI brought about recognition that brainstem tumors are a heterogeneous collection of tumor types with major differences in presentation and survival, resulting in various classification systems. In 1987, Epstein and Winsoff described CMTs as an isolated subgroup. According to their analysis, the majority of these tumors are histologically benign and slow-growing neoplasms which long duration of symptoms and considered amenable to radical resection.

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