Age |
13 months |
15 years |
16 months |
34 months |
18 years |
Sex |
Female |
Female |
Female |
Female |
Female |
Symptoms and signs |
Difficult stance, mild spastic paraparesis |
Lower back and leg pain, Lase`gue positive |
Difficult stance and gait, spastic paraparesis |
Intense cervical and right brachial pain, tetraparesis muscular hypotrophy |
Intermittent pain in the right side of the neck |
Tumor localization |
Intradural extramedullary T6–T9 |
S1 nerve root sheath |
Intradural extramedullary T1–T2 |
Intradural extramedullary C5–C7 |
C2 nerve root |
CT |
– |
No contrast enhancement |
– |
– |
Irregular calcifications in the mass after enhancement |
MRI |
Hypointense in T1; hypointense in T2; no contrast enhancement |
Isointense in T1; hypointense in T2; isointense in DP; no contrast administered |
Isointense in T1; hyperintense in T2; homogeneous enhancement |
T1 isointense; T2 isointense; homogeneous enhancement |
Isointense to hypointense in T1 and T2, hyperintense enhancement |
Surgical approach |
Five-level laminoplastic laminectomy |
One-level laminectomy, sacral-hiatus resection |
Four-level laminectomy |
Four-level open-door laminoplasty |
C1–C2 laminectomy |
Tumor relation to adjacent structures |
Adherent to inner layer of dura mater; arachnoid intact |
Adherent to S1 nerve root sheath |
Adherent to inner layer of dura mater; arachnoid intact |
Adherent to inner layer of dura mater; arachnoid intact |
Originated from C2 nerve root and involved the right lateral mass of the C1 and C2 |
Surgical resection |
Total |
Total |
Total |
Total |
Total |