case_images: PMC4879859_01
case_images: The patient had a left anterior neck mass, which showed on fine needle aspiration cytology as papillary thyroid carcinoma. Ultrasonography of the neck did not show any other neck nodes
case_images: SNI-7-375-g001.jpg
case_images: PMC4879859_01_SNI-7-375-g001.jpg
case_images: F1
case_images: A 54-year-old male presented with bilateral low back pain, tingling, numbness, and weakness in both the lower limbs, and incontinence of the bowel and bladder of 2-months duration [Figure 1].
case_images: The MRI scan of the thoracic spinal cord: Sagittal (a) T1-weighted contrast image, sagittal (b) T2-weighted image, axial (c) T1-weighted contrast image and axial: Showing a solitary mass in the intramedullary spinal cord at D11-12 level. The lesion showed a heterogeneous enhancement following intravenous gadolinium contrast
case_images: SNI-7-375-g002.jpg
case_images: PMC4879859_01_SNI-7-375-g002.jpg
case_images: F2
case_images: T1 image was hypointense and the T2 study showed it was hyperintense with intense enhancement [Figure 2]. The working radiological impression was that of a hemangioblastoma involving the conus medullary segment.
case_images: The operative picture as seen under operating microscope (a) before durotomy and (b) after durotomy; (c) the brownish yellow, soft to firm, suckable, vascular, friable tumour
case_images: SNI-7-375-g003.jpg
case_images: PMC4879859_01_SNI-7-375-g003.jpg
case_images: F3
case_images: D10-L1 spinous process. D11, D12 laminectomy was performed revealing a tense bluish, intradural mass within the dura in the conus region [Figure 3].