Abstract

Dr. Pallerla Sai Anudeep Reddy*, Dr. Sadhna Sharma and Dr. M. Hanvitha

ABSTRACT

Cervical myelopathy is a condition involving compression of the spinal cord at the cervical level of the spinal column either due to neoplastic or non-neoplastic causes. Among the neoplastic causes, the slow growing, benign tumours are intradural in origin, of which most are attributed to meningiomas or neurofibromas. Neurofibromas are benign tumors of the nerve sheath that typically arise from the posterior root. This is a case of neurofibroma causing compressive cervical myelopathy which presented as a 33 yr old female with complaints of neck pain radiating to left shoulder and associated with tingling of left hand since 5-6 months. Cental nervous system examination : Decreased hand grip on left side, weakness of small muscles of left hand with presence of supinator and brachio radialis inverse reflex. MRI C- spine with contrast: Well defined heterogenously enhancing altered signal intensity lesion in the spinal canal at C5-C6 level with left lateral extension: s/o intradural extramedullary lesion most likely neurofibroma.