<% strPathPics = Session("strPathPicsL") imgBg = strPathPics + Session("strMedia") %> SchwannomaC1

Schwannoma of the Cervical 1 Nerve Root

A 72 year-old woman presented with progressive weakness of the left arm and leg. There was no facial weakness. On examination, she had increased tone and reflexes on the left side with a left Babinski sign.

Outline the Tumor                                                                          Show the Cord Deformity

Schwannoma: (Left) T1-weighted with gadolinium coronal MRI; (Right) T2-weighted axial MRI at the level of C1. Note the large somewhat dumb-bell shaped mass at the C1 level. Also note the deformity of the adjacent spinal cord. The mass is growing through the intervertebral foramen resulting in the dumb-bell shape. At surgery, pathological examination revealed a schwannoma.

Schwannomas are histologically benign tumors seen along the course of peripheral nerves, nerve roots, and cranial nerves [especially cranial nerve V (trigeminal) and VIII (vestibulocochlear)]. They may occur in isolation or in association with neurofibromatosis. They arise from the Schwann cells that create the myelin sheath around peripheral nerves. They result in symptoms when they disrupt the function of the nerve from which they arise, or cause mass effect on adjacent structures. In this case, symptoms resulted from compression of the high cervical spinal cord when the Schwannoma grew along the C1 nerve root through the intervertebral foramen.


Revised 11/29/06
Copyrighted 2006. David C Preston