case_images: PMC6417357_01
case_images: (a) Sagittal-contrasted enhanced T1-weighted magnetic resonance imaging showing strongly enhanced intradural extramedullary lesion at the T4-T5 level. (b) Axial view contrast-enhanced T1-weighted magnetic resonance image. (c) T2-weighted magnetic resonance image showing a hypointense mass with marked cord compression
case_images: AJNS-14-304-g001.jpg
case_images: PMC6417357_01_AJNS-14-304-g001.jpg
case_images: F1
case_images: The lesion is exerting a significant local mass effect, causing marked cord compression. The lesion was hypointense on T2-weighted image [Figure 1].
case_images: Computed tomography scan images. (a) Axial view of T4 vertebra showing a calcified lesion and osteosclerosis mainly of the right lamina and pedicle. (b) A lower cut of T4 vertebra showing increased hyperdensity. (c) Coronal view
case_images: AJNS-14-304-g002.jpg
case_images: PMC6417357_01_AJNS-14-304-g002.jpg
case_images: F2
case_images: On computed tomography scan, the lesion showed calcifications associated with osteosclerosis of the right lamina and pedicle [Figure 2].
case_images: Operative images after opening of the dura. (a) Tumor adherent to the dura. (b) Detachment of the tumor from dura after dissection. (c) Tumor attachment to nerve root
case_images: AJNS-14-304-g003.jpg
case_images: PMC6417357_01_AJNS-14-304-g003.jpg
case_images: F3
case_images: The tumor was attached to the dura and nerve root [Figure 3].
case_images: (a) Gross pathology image showing well-circumscribed and pedunculated mass. (b) Postoperative view after complete resection of the tumor
case_images: AJNS-14-304-g004.jpg
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case_images: F4
case_images: With careful dissection under the microscope, we were able to remove the tumor in a piecemeal fashion [Figure 4].
case_images: Six-month follow-up magnetic resonance image of the spine showing complete removal of the tumor without signs of recurrence. (a) Sagittal view. (b) Axial view at the T4-T5 level
case_images: AJNS-14-304-g005.jpg
case_images: PMC6417357_01_AJNS-14-304-g005.jpg
case_images: F5
case_images: Follow-up MRI of the spine showed completely resected tumor without signs of recurrence [Figure 5].