Abstract
Spinal neurofibromas occur sporadically and typically occur in association with neurofibromatosis 1. Patients afflicted with neurofibromatosis 1 usually present with involvement of several nerve roots. This report describes the case of a 14- year-old child with a large intraspinal, but extradural tumour with paraspinal extension, dumbbell neurofibroma of the cervical region extending from the C2 to C4 vertebrae. The lesions were readily detected by MR imaging and were successfully resected in a two-stage surgery. The time interval between the first and second surgery was one month. We provide a brief review of the literature regarding various surgical approaches, emphasising the utility of anterior and posterior approaches. Neurofibromatosis 1, Dumbbell Neurofibroma, Spinal Tumour, Cervical Spine, Surgical Approach.
Highlights
Neurofibromatosis is a common, multisystemic, autosomal dominant disorder in which affected individuals develop both benign and malignant tumours
A 14-year-old boy with Neurofibromatosis 1 (NF-1) was referred to us for a unilateral neck swelling associated with progressive quadriparesis
The term “dumbbell tumour” describes spinal tumours that acquire an hourglass shape in the course of growth, as anatomic barriers such as the dura
Summary
A 14-year-old boy with NF-1 was referred to us for a unilateral neck swelling associated with progressive quadriparesis. One month prior to admission, he noticed a right-sided neck swelling that progressively increased in size. He was a child of a non-consanguineous marriage with positive family history for von Recklinghausen’s disease
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