case_images: PMC10868627_01
case_images: T2 weighted cervical MRI study showing focal 2.0 cm heterogeneously enhancing lesion (red arrows) involving the central intramedullary region at C2 to upper C3 levels, associated with subtle cord expansion and minimal adjacent cord edema. A: T2 weighted cervicothoracic MRI sagittal cut. B: T2 weighted cervical MRI transverse cut at upper C2. C: T2 weighted cervical MRI transverse cut at lower C2. D: T2 weighted cervical MRI transverse cut at upper C3
case_images: cureus-0016-00000052374-i01.jpg
case_images: PMC10868627_01_cureus-0016-00000052374-i01.jpg
case_images: FIG1
case_images: A cervicothoracic, shown in Figure 1, and cranial MRI were done, revealing a heterogeneously enhancing lesion involving the central intramedullary region at C2 to upper C3 levels associated with subtle cord expansion and minimal adjacent cord edema.
case_images: Optical coherence tomography showing average retinal nerve fibers and normal ganglion cell analysis on both eyes. A-B: right eye; C-D: left eye
case_images: cureus-0016-00000052374-i02.jpg
case_images: PMC10868627_01_cureus-0016-00000052374-i02.jpg
case_images: FIG2
case_images: Baseline optical coherence tomography, shown in Figure 2, was also done during the first admission, revealing a normal ganglion cell analysis of both eyes.
case_images: T2 weighted cervical MRI showing focal ovoid signal abnormality involving the dorsal aspect of the C2-3 level of the upper cervical spinal cord. A: T2 weighted cervicothoracic MRI sagittal cut. B: T2 weighted cervical MRI transverse cut at upper C2. C: T2 weighted cervical MRI transverse cut at lower C2. D: T2 weighted cervical MRI transverse cut at upper C3
case_images: cureus-0016-00000052374-i03.jpg
case_images: PMC10868627_01_cureus-0016-00000052374-i03.jpg
case_images: FIG3
case_images: A repeat craniocervical MRI shown in Figure 3 was done, revealing the previously noted focal ovoid non-enhancing signal abnormality involving the dorsal aspect of the C2-3 level of the upper cervical spinal cord with no accompanying cord expansion.