Images: [small]larger
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| Fig. 1: STIR shows ropy nerve roots of the lumbar spine. There is also a large confluent tumoral mass, of high signal, in the left presacral region. |
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| Fig. 2: T1 post Gd shows an even larger mass on the right. |
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| Fig. 3: STIR shows ropy, thickened cervical spinal nerve roots. |
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| Fig. 4: T1 post Gd shows a subcutaneous lesion in the subcutaneous tissues. |
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| Fig. 5: Key points:
- thick n. roots can be indistinguishable from dural ectasia
- common (1:2-3000, >90% of neurofibromatosis cases)
- prominent cutaneous lesions, after age 4
- gliomas,nonneoplastic "hamartomatous" lesions, cord astrocytoma, dural ectasia, osseous/dural lesions, etc. |
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15 Y/O FEMALE W/ KNOWN DIAGNOSIS AND R FOOT PAIN