Journal of Craniovertebral Junction and Spine

CASE REPORT
Year
: 2019  |  Volume : 10  |  Issue : 3  |  Page : 188--191

Atypical presentation of extraspinal neurofibroma presenting with acute-onset monoparesis and Horner's syndrome: Case report and review of literature


Lokesh S Nehete1, Subhas K Konar1, BN Nandeesh2, Dhaval Shukla1, B Indira Devi1 
1 Department of Neurosurgery, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India
2 Department of Neuropathology, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India

Correspondence Address:
Dr. Subhas K Konar
Department of Neurosurgery, National Institute of Mental Health and Neurosciences, Bengaluru - 560 029, Karnataka
India

The clinical presentation of spinal or extraspinal neurofibroma is radiculopathy or myelopathy, pain, and motor weakness. Extraspinal neurofibroma presenting with acute-onset monoparesis and Horner's syndrome is very rare. We report the case of a 55-year-old female who presented with acute-onset monoparesis of the left upper limb along with left-side drooping of the eyelid. Imaging revealed C6–D2 extraspinal solitary mass lesion lateral to spinous process with bleed without intraspinal component. The patient underwent an anterior cervical approach and excision of the tumor. Final biopsy report was a neurofibroma. At 3-year follow-up, she recovered from motor weakness, and Horner's syndrome subsided. Extraspinal neurofibroma can present with acute bleed, and surgical outcome is superior in early intervention.


How to cite this article:
Nehete LS, Konar SK, Nandeesh B N, Shukla D, Devi B I. Atypical presentation of extraspinal neurofibroma presenting with acute-onset monoparesis and Horner's syndrome: Case report and review of literature.J Craniovert Jun Spine 2019;10:188-191


How to cite this URL:
Nehete LS, Konar SK, Nandeesh B N, Shukla D, Devi B I. Atypical presentation of extraspinal neurofibroma presenting with acute-onset monoparesis and Horner's syndrome: Case report and review of literature. J Craniovert Jun Spine [serial online] 2019 [cited 2019 Dec 8 ];10:188-191
Available from: http://www.jcvjs.com/article.asp?issn=0974-8237;year=2019;volume=10;issue=3;spage=188;epage=191;aulast=Nehete;type=0