PMC6884946_01
Case 1. Preoperative MRI cervical spine T1-weighted with contrast (left) and T2 weighted (right). There is a large-enhancing expansile mass of the cervical spinal cord extending from the level C1-C7 measuring 9.8 x 1.2 cm. A large tumor cyst extends from end of mass at C7 inferiorly into the thoracic spine.
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F1
A 32-year-old female presented with severe progressive spastic quadriparesis attributed to a cervical cord intramedullary tumor (e.g., large cystic-enhancing expansile mass) extending from C1 to C7-T1 on MRI [Figure 1].
Case 1. Postoperative sagittal T1-weighted with contrast (left) and T2-weighted (right) MR images of the cervical spine after laminectomy and posterior fusion. Gross total resection was achieved with no residual tumor.
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F2
The 15-month postoperative MRI confirmed no evidence of residual or recurrent tumor [Figure 2].
PMC6884946_02
Case 2. Preoperative sagittal T1-weighted with contrast (left) and T2-weighted (right) MR images demonstrating a heterogeneous mass within the cervical cord from C1-C7. The superior portion of the mass demonstrates 1.7 x 3.6 cm cystic component.
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F3
Case 2. Postoperative sagittal T1-weighted with contrast (left) and T2-weighted (right) MR images after laminectomy and posterior fusion. Gross total resection was achieved, albeit with marked spinal cord myelomalacia from C2-C3 through C6.
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F4
The 1-year postoperative cervical MRI showed no evidence of residual or recurrent tumor [Figure 4].