Male, 24 years old, with neurofibromatosis status post resection of a cervical lesion, three-month follow-up. Postoperative findings are seen within the posterior paraspinal soft tissue tissues at C1-2. The C2 spinous process has been partially resected. Previously seen large tumors which were centered on the bilateral C1-2 foramina with intraspinal extension have been resected. No evidence of residual or recurrent tumor is seen at the operative site. The previously demonstrated mass effect on the spinal cord has been relieved, though there is some residual cord thinning and myelomalacia.Thickening along the nerve roots at most other cervical levels is again seen without significant interval change. No new or growing lesions are seen. Scattered small subcutaneous and paraspinal nodules are also demonstrated without significant interval change. Bilateral nodules are partially visualized within the carotid space between the common carotid arteries and the jugular veins.Spinal alignment is anatomic. Vertebral body height and morphology are within normal limits. No evidence of pathologic marrow replacement or edema is seen. The spinal cord is otherwise unremarkable. No significant disc degeneration, spinal canal or foraminal compromise is detected.
1.Postoperative findings are seen compatible with resection of large neurofibromas from the C1-C2 foramina . No evidence of residual or recurrent tumor is seen at the operative site.2.The previously demonstrated spinal canal stenosis and cord impingement related to intraspinal extension of the foraminal tumors has been relieved. Focal cord thinning and myelomalacia is now evident.3.Scattered additional neurofibromas are seen within the cervical foramina and in the paraspinal and subcutaneous soft tissues. There are no clearly new or growing lesions.