PMC8422421_01
(a) Sagittal T1 MR; hypo-isointense C5-C6 lesion (b) Sagittal T2 sequence hyperintense lesion intraspinal, extramedullary, extradural lesion. (c) Heterogeneous enhancement with "dural tail" sign. D. axial T2 hyperintense lesion projects toward left neuroforamen, compressing left C5 root. E. Contrast axial section, a poorly defined lesion is seen. Suspicion of spinal meningioma.
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F1
The original MR was interpreted as a C5-C6 cervical meningioma (i.e. including the classical "dural tail" sign) [Figure 1].
(a) Left C5 lamina identified with minimally invasive tubular approach. (b) Left C5 hemilaminectomy performed. With diamond burr. (c) Black arrow, Spinal root of C5 separated with a hook. White arrow, showed axilla of C5 root compressed by soft, vascularized, gray/whitish lesion. (d) Spinal root C5 released (Gray arrow).
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F2
Utilizing a microscopic tubular approach, a left C5 hemilaminectomy with foraminotomy were performed, revealing a left-sided C5-C6 disc herniation that was then removed [Figure 2].
(a) On the postoperative CT, the C5 the left C5 hemilaminectomy was demonstrated; with contrast removal of the lesion is confirmed. (b) Sagittal cervical contrast CT documenting resection of the C5-C6 lesion/disc herniation.
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F3
The postoperative contrasted CT obtained immediately postsurgery, confirmed full lesion resection [Figure 3].