Images in clinical medicine | Volume 39, Article 146, 23 Jun 2021 | 10.11604/pamj.2021.39.146.30169

Classical neurofibroma

Pallavi Lalchand Harjpal, Rakesh Krishna Kovela

Corresponding author: Rakesh Krishna Kovela, Department of Neurophysiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Sawangi, Meghe, Wardha, Maharashtra, India

Received: 04 Jun 2021 - Accepted: 20 Jun 2021 - Published: 23 Jun 2021

Domain: Physical medicine and rehabilitation or Physiatry,Pediatrics (general)

Keywords: Neurofibroma, spinal cord tumors, schwannoma

©Pallavi Lalchand Harjpal et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Cite this article: Pallavi Lalchand Harjpal et al. Classical neurofibroma. Pan African Medical Journal. 2021;39:146. [doi: 10.11604/pamj.2021.39.146.30169]

Available online at: https://www.panafrican-med-journal.com/content/article/39/146/full

Home | Volume 39 | Article number 146

Images in clinical medicine

Classical neurofibroma

Classical neurofibroma

Pallavi Lalchand Harjpal1, Rakesh Krishna Kovela1,&

 

1Department of Neurophysiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Sawangi, Meghe, Wardha, Maharashtra, India

 

 

&Corresponding author
Rakesh Krishna Kovela, Department of Neurophysiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Sawangi, Meghe, Wardha, Maharashtra, India

 

 

Image in medicine    Down

We are presenting to you an magnetic resonance imaging (MRI) finding of a 27-year-old male who presented to us with complains of gradually progressing pain over the neck along with radiation to the upper extremity with more involvement of the right side than the left. He also complained of insidious onset of weakness in the upper extremity. Magnetic resonance imaging findings revealed T2 hyperintense mass (red arrow) in the intradural extramedullary mass involving the C3-C4 cervical vertebrae and the intervertebral disc in between, highly suggestive of neurofibroma. Spinal neurofibromas are frequently observed over the cervical cord and are usually asymptomatic. Our patient showed mild symptoms, probable reasons might be the slow growth rate of neurofibroma. He was referred for physiotherapy for further opinion. On physical examination, he had weakness in upper limb movement (MRC grade 2+) and weak grip strength. Surgery was the treatment of choice for him and he underwent surgical excision of it along with pre-operative physiotherapy management for 5 days. Post-surgery, there was an enormous improvement in his symptoms i.e. residual weakness persisting without any pain. He was prescribed strengthening and gripping exercises. Before discharge, he had a grade of 4+ on the MRC grading scale. Early medical and surgical management along with pre- and post-operative rehabilitation is the road to recovery in such patients.

 

 

Figure 1: MRI findings of classical neurofibroma at the C3-C4 level

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Images in clinical medicine

Classical neurofibroma

Images in clinical medicine

Classical neurofibroma

Images in clinical medicine

Classical neurofibroma

Volume 40 (Sep - Dec 2021)
This article authors
On Pubmed
On Google Scholar
Citation [Download]
Zotero
EndNote XML
Reference Manager
BibTex
ProCite

Navigate this article
Similar articles in
Key words

Neurofibroma

Spinal cord tumors

Schwannoma

Article metrics
Countries of access
PlumX Metrics
Classical neurofibroma