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CASE REPORT
Year : 2018  |  Volume : 5  |  Issue : 3  |  Page : 138-143

Bilateral symmetric dumbbell C1-C2 ganglioneuroma in neurofibromatosis type 1 patient causing spastic quadriparesis


1 Chief Resident, Department of Neurosurgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka, 1000, Bangladesh
2 Associate Professor, Department of Neurosurgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka, 1000, Bangladesh
3 Assistant Professor, Department of Neurosurgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka, 1000, Bangladesh
4 Medical Officer, Department of Neurosurgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka, 1000, Bangladesh
5 Medical Officer, Birgunj Health Care Hospital, Birgunj, Nepal
6 Professor, Department of Neurosurgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka, 1000, Bangladesh
7 Resident, Department of Neurosurgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka, 1000, Bangladesh
8 Consultant, Birgunj Health Care Hospital, Birgunj, Nepal
9 Resident, Department of Pathology, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka, 1000, Bangladesh

Correspondence Address:
Sweta K Chaurasia
Medical Officer, Birgunj Health Care Hospital, Birgunj
Nepal
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Source of Support: None, Conflict of Interest: None


DOI: 10.5005/jp-journals-10039-1188

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Introduction: Ganglioneuroma is a very rare tumor and rarely found bilaterally in association with neurofibromatosis patient. Very few cases of dumbbell ganglioneuroma in the cervical region have been reported in the literature. Materials and methods: A 36-year young male presented to us with a complaint of progressive spastic quadriparesis for 4 years. We did MRI of the cervical spine with contrast and found bilateral symmetrical dumbbell mass at the C1-C2 level severely compressing the spinal cord. Rest of the spine and brain imaging showed normal findings. Result: We operated the patient. Bilateral decompression of the cervical spine at the corresponding level was achieved by complete removal of tumor. Patient's motor power of all limbs gradually improved. Histopathology was done which revealed ganglioneuroma of both the resected tumors. Conclusion: Bilateral symmetric dumbbell ganglioneuroma is extremely rare in C1-C2 region and can be associated with neurofibromatosis Type 1.


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