case_images: PMC8781240_01
case_images: Preoperative X-ray of cervical spine (anteroposterior and lateral): X-ray suggestive of scalloping of vertebral body of C5.
case_images: SNI-11-182-g001.jpg
case_images: PMC8781240_01_SNI-11-182-g001.jpg
case_images: F1
case_images: While plain X-rays showed scalloping of the C5 vertebral body, magnetic resonance imaging (MRI) demonstrated a large lobulated retropharyngeal mass (7.5 cm craniocaudal x 4.8 cm transverse 4.8 cm x 3.1 cm AP) compressing the upper airway (i.e., oropharynx and hypopharynx) [Figures 1 and 2].
case_images: Contrast magnetic resonance imaging scan of cervical spine: a large mass arising in the retropharyngeal space with bright signal intensity.
case_images: SNI-11-182-g002.jpg
case_images: PMC8781240_01_SNI-11-182-g002.jpg
case_images: F2
case_images: While plain X-rays showed scalloping of the C5 vertebral body, magnetic resonance imaging (MRI) demonstrated a large lobulated retropharyngeal mass (7.5 cm craniocaudal x 4.8 cm transverse 4.8 cm x 3.1 cm AP) compressing the upper airway (i.e., oropharynx and hypopharynx) [Figures 1 and 2].
case_images: Magnetic resonance imaging scan of cervical spine (STIR image): heterogeneous mass arising in the retropharyngeal space with lobulated margins.
case_images: SNI-11-182-g003.jpg
case_images: PMC8781240_01_SNI-11-182-g003.jpg
case_images: F3
case_images: The lesion was hypointense on T1- and hyperintense on T2-weighted images [Figures 3 and 4].
case_images: Magnetic resonance imaging scan of cervical spine (axial cut): severe narrowing of oropharynx and hypopharynx.
case_images: SNI-11-182-g004.jpg
case_images: PMC8781240_01_SNI-11-182-g004.jpg
case_images: F4
case_images: The lesion was hypointense on T1- and hyperintense on T2-weighted images [Figures 3 and 4].
case_images: Intraoperative examination: intraoperative examination shows a large bulging plurilobulated mass with central location and remarkable reduction of the oropharyngeal space with the showing gray-white firm appearance.
case_images: SNI-11-182-g005.jpg
case_images: PMC8781240_01_SNI-11-182-g005.jpg
case_images: F5
case_images: Utilizing a routine right-sided Smith-Robinson approach, the C2 to C5 lesion was routinely excised [Figures 5 and 6].
case_images: Intraoperative examination: complete surgical excision of mass before wound closure with drain in situ.
case_images: SNI-11-182-g006.jpg
case_images: PMC8781240_01_SNI-11-182-g006.jpg
case_images: F6
case_images: Utilizing a routine right-sided Smith-Robinson approach, the C2 to C5 lesion was routinely excised [Figures 5 and 6].
case_images: Histopathology slide: the tumor shows plexiform multinodular appearance with bland spindle cells.
case_images: SNI-11-182-g007.jpg
case_images: PMC8781240_01_SNI-11-182-g007.jpg
case_images: F7
case_images: Histologically, the tumor showed nodular plexiform fragments, bland spindle cells with nuclear palisading and verocay bodies, and all diagnostic for a benign plexiform schwannoma [Figures 7 and 8].
case_images: Histopathology slide: characteristic nuclear palisading verocay bodies are seen.
case_images: SNI-11-182-g008.jpg
case_images: PMC8781240_01_SNI-11-182-g008.jpg
case_images: F8
case_images: Histologically, the tumor showed nodular plexiform fragments, bland spindle cells with nuclear palisading and verocay bodies, and all diagnostic for a benign plexiform schwannoma [Figures 7 and 8].