PMC9412232_01
General appearance of the patient. (A) Note the presumed neurofibroma of the right facial nerve and the neurofibroma in the left periorbital region. The patient had multiple cafe-au-lait spots on his abdomen and thorax (not shown). (B) T1 gadolinium-enhanced and (C) T2-weighted MRI sections corresponding to the right-side presumed facial neurofibroma.
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F1
Upon inspection, the patient also presented with multiple large cutaneous cafe-au-lait spots, cutaneous neurofibromas, and a large neurofibroma of right facial nerve, which according to the patient, recurred over the years after its primary resection when the patient was 7 years old (Figure 1).
Magnetic resonance imaging data of the patient and neurofibromas across all spinal roots. (A,B) T1- and T2-weighted and (C) Multiple Echo Data Image Combination (MEDIC) coronal sections of the cervical spine MRI demonstrating presumed neurofibromas affecting all nerve roots. (D,E) MEDIC and T2 sequence images of thoracic neurofibromas. (F) Fast spin echo and (G) turbo inversion recovery magnitude T2-weighted and (H,I) MEDIC coronal sections of the lumbar vertebrae demonstrating lumbar and sacral neurofibromas. (J,K) Sagittal T1 sequences of the spine demonstrating the proximal extension of the tumors.
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F2
Magnetic resonance imaging (MRI) of spine revealed the presence of presumed neurofibromas bilaterally through all spinal cord roots (Figure 2).