SPINE Volume 39, Number 10, p 854 ©2014, Lippincott Williams & Wilkins
IMAGING CORNER
Unknown Case Part 1 Brahim Eljebbouri, MD, Mohcine Salami, MD, Jawad Laaguili, MD, and Brahim ElMostarchid, MD
PART I A 54-year-old otherwise healthy male presented with a posterior cervical growing tumor (Figure 1A). Although there was no pain associated with the tumor, it had been growing at a regular pace and the patient had been experiencing symptoms for 1 year. Clinical examination revealed a mobile soft mass. We found no cervical, supraclavicular, or axillary
node. A magnetic resonance image of the neck showed a 150mm long, well-defined tumor. The axial T1 image with fat suppression (Figure 1B1) and the sagittal T2-weighted magnetic resonance image (Figure 1B2) not only demonstrate a large lobulated mass that predominantly demonstrates a high T2-signal intensity, but also contains septa that demonstrates intermediate signal intensity.
Figure 1. A, Large posterior cervical tumor. The axial T1 image with fat suppression (B1). The sagittal T2weighted magnetic resonance view (B2) not only demonstrates a large lobulated mass that predominantly demonstrates high T2-signal intensity, but also contains septa that demonstrates intermediate signal intensity.
From the Department of Neurosurgery, Mohamed V Military Teaching Hospital, Rabat, Morocco. Acknowledgment date: January 3, 2014. First revision date: January 17, 2014. Second revision date: January 23, 2014. Third revision date: February 4, 2014. Fourth revision date: February 14, 2014. Acceptance date: February 15, 2014. The manuscript submitted does not contain information about medical device(s)/drug(s). No funds were received in support of this work. No relevant financial activities outside the submitted work. Address correspondence and reprint requests to Brahim Eljebbouri, MD, Department of Neurosurgery, Mohamed V Military Teaching Hospital, Rabat, Morocco; E-mail: [email protected] DOI: 10.1097/BRS.0000000000000300
854
www.spinejournal.com
May 2014
Copyright © 2014 Lippincott Williams & Wilkins. Unauthorized reproduction of this article is prohibited. SPINEI1401B_LR 854
09/04/14 4:04 AM
IMAGING CORNER
Unknown Case Part 1 Brahim Eljebbouri, MD, Mohcine Salami, MD, Jawad Laaguili, MD, and Brahim ElMostarchid, MD
PART I A 54-year-old otherwise healthy male presented with a posterior cervical growing tumor (Figure 1A). Although there was no pain associated with the tumor, it had been growing at a regular pace and the patient had been experiencing symptoms for 1 year. Clinical examination revealed a mobile soft mass. We found no cervical, supraclavicular, or axillary
node. A magnetic resonance image of the neck showed a 150mm long, well-defined tumor. The axial T1 image with fat suppression (Figure 1B1) and the sagittal T2-weighted magnetic resonance image (Figure 1B2) not only demonstrate a large lobulated mass that predominantly demonstrates a high T2-signal intensity, but also contains septa that demonstrates intermediate signal intensity.
Figure 1. A, Large posterior cervical tumor. The axial T1 image with fat suppression (B1). The sagittal T2weighted magnetic resonance view (B2) not only demonstrates a large lobulated mass that predominantly demonstrates high T2-signal intensity, but also contains septa that demonstrates intermediate signal intensity.
From the Department of Neurosurgery, Mohamed V Military Teaching Hospital, Rabat, Morocco. Acknowledgment date: January 3, 2014. First revision date: January 17, 2014. Second revision date: January 23, 2014. Third revision date: February 4, 2014. Fourth revision date: February 14, 2014. Acceptance date: February 15, 2014. The manuscript submitted does not contain information about medical device(s)/drug(s). No funds were received in support of this work. No relevant financial activities outside the submitted work. Address correspondence and reprint requests to Brahim Eljebbouri, MD, Department of Neurosurgery, Mohamed V Military Teaching Hospital, Rabat, Morocco; E-mail: [email protected] DOI: 10.1097/BRS.0000000000000300
854
www.spinejournal.com
May 2014
Copyright © 2014 Lippincott Williams & Wilkins. Unauthorized reproduction of this article is prohibited. SPINEI1401B_LR 854
09/04/14 4:04 AM
