case_images: PMC6884946_01
case_images: Case 1. Preoperative MRI cervical spine T1-weighted with contrast (left) and T2 weighted (right). There is a large-enhancing expansile mass of the cervical spinal cord extending from the level C1-C7 measuring 9.8 x 1.2 cm. A large tumor cyst extends from end of mass at C7 inferiorly into the thoracic spine.
case_images: SNI-10-223-g001.jpg
case_images: PMC6884946_01_SNI-10-223-g001.jpg
case_images: F1
case_images: A 32-year-old female presented with severe progressive spastic quadriparesis attributed to a cervical cord intramedullary tumor (e.g., large cystic-enhancing expansile mass) extending from C1 to C7-T1 on MRI [Figure 1].
case_images: Case 1. Postoperative sagittal T1-weighted with contrast (left) and T2-weighted (right) MR images of the cervical spine after laminectomy and posterior fusion. Gross total resection was achieved with no residual tumor.
case_images: SNI-10-223-g002.jpg
case_images: PMC6884946_01_SNI-10-223-g002.jpg
case_images: F2
case_images: The 15-month postoperative MRI confirmed no evidence of residual or recurrent tumor [Figure 2].
case_images: PMC6884946_02
case_images: Case 2. Preoperative sagittal T1-weighted with contrast (left) and T2-weighted (right) MR images demonstrating a heterogeneous mass within the cervical cord from C1-C7. The superior portion of the mass demonstrates 1.7 x 3.6 cm cystic component.
case_images: SNI-10-223-g003.jpg
case_images: PMC6884946_02_SNI-10-223-g003.jpg
case_images: F3
case_images: Case 2. Postoperative sagittal T1-weighted with contrast (left) and T2-weighted (right) MR images after laminectomy and posterior fusion. Gross total resection was achieved, albeit with marked spinal cord myelomalacia from C2-C3 through C6.
case_images: SNI-10-223-g004.jpg
case_images: PMC6884946_02_SNI-10-223-g004.jpg
case_images: F4
case_images: The 1-year postoperative cervical MRI showed no evidence of residual or recurrent tumor [Figure 4].