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Bilateral and symmetric C1-C2 dumbbell ganglioneuromas associated with neurofibromatosis type 1: A case report

查看全文 作　　者：Chun-Yu [1]Tan;Jia-Wei [1]Liu;Yi [1]Lin;Xin-Xin [1]Tie;Peng [1]Cheng;Xue [2]Qi;Yue [3]Gao;Zong-Ze [1]Guo 高影响力作者 机构地区：[1]Department of Neurosurgery, The First Hospital of China Medical University;[2]X-ray Department, The First Hospital of China Medical University;[3]Department of Pathology, The First Hospital of China Medical University高影响力机构 出　　处：《World Journal of Clinical Cases》索引2019年第7卷第1期,共7页高影响力期刊 摘　　要：BACKGROUND Ganglioneuroma(GN) is a rare and benign tumor that originates from autonomic nervous system ganglion cells. The most frequently involved sites are the posterior mediastinum, the abdominal cavity, and the retroperitoneal space. It rarely occurs in the cervical area, compressing the spinal cord. Neurofibromatosis type 1(NF-1) is an autosomal dominant inheritance disorder, whose prevalence rate approximates one per 3000.CASE SUMMARY We report an extremely rare case of bilateral and symmetric dumbbell GNs of the cervical spine with NF-1. A 27-year-old man with NF-1 presented with a one-year history of gradually progressive right upper extremity weakness and numbness in both hands. Magnetic resonance imaging showed bilateral and symmetric dumbbell lesions at the C1-C2 levels compressing the spinal cord. We performed total resection of bilateral tumors, and the postoperative histopathological diagnosis of the resected mass was GN. After operation, the preoperative symptoms were gradually relieved without complications. To our knowledge,this is the sixth report of cervical bilateral dumbbell GNs.CONCLUSION In some cases, cervical bilateral dumbbell GNs could be associated with NF-1.The exact diagnosis cannot be obtained before operation, and pathological outcome is the current gold standard. Surgical resection is the most effective option, and disease outcome is generally good after treatment. 关 键 词：GANGLIONEUROMA CERVICAL BILATERAL DUMBBELL Surgery Case report
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