Dumb-bell shaped cervical neurofibroma

Vinod, K V; Bhardwaj, Akinchan; Swathi, T; Mathew, J; Vadivelan, M; Hamide, Abdoul

doi:10.1093/qjmed/hcz074

Cited by 1 publication

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“…Spinal neurofibromas that arises from the spinal nerve root sheath are a the most common localization in patients with NF1, and occur in as high as 80% of patients during their lives. 7,8 Multiple spine regions localization is common, and up to 56% of patients between 10 and 18 years of age, as in the case of our patient, had 2 or more spinal localizations. 8 Cervical spine involvement is usually asymptomatic, but can progress with time into structural abnormalities such as widening of the neural foramens, vertebral scalloping, osteolysis, kyphotic deformity and severe neurological symptoms in case of spinal cord compression like in our case.…”

Section: Discussionsupporting

confidence: 57%

Strangled by His Nerves—Cervical Plexiform Neurofibroma With Infantile Spinal Neurofibromatosis: Case Report in a 14 Years Old Child

Tahiri

Bourial

Lahlou

et al. 2023

Clin Med Insights Case Rep

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Background: Neurofibromatoses are a rare group of autosomal dominant tumor suppressor phacomatoses syndromes. Neurofibromatosis type 1 (NF1 or Von Recklinghausen’s disease) is the most commonly found type of neurofibromatosis, and constitutes the most commonly found autosomal dominant disease of the nervous system. Case presentation: We report a case of a 14-year-old boy who reported a 3-year-history of a slowly enlarging right lateral cervical mass. He has a medical history of a progressive limping gait disorder with scoliotic attitude. MRI identified a dumb-bell shaped intradural right cervical process through right paravertebral gutter on C2 to C4, a second intradural dorsal mass with the same characteristics through left paravertebral gutter on D4 and D5 and a large tissue-like mass infiltrating the lumbosacral subcutaneous soft tissues. A Surgical excision of the cervical and lumbar masses was performed with a good outcome after surgical excision. Conclusions: This case illustrates the need for a collaboration of both neurological and head and neck surgeons in terms of managing difficulties related to a cervical neurofibroma. Benign plexiform neurofibromas are rapidly growing tumors, particularly in children and adolescents, which makes all the importance of early detection and appropriate treatment. Repeated interventions are usually needed in order to adapt and stabilize the tumors extension.

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Section: Discussionsupporting

confidence: 57%