Every neck pain should not be treated or ignored as pain of cervical spondylosis- Be ware it could be a spinal tumour

A 50 yr old patient presented to us in OPD with complaints of wasting of small muscles of hand. She had dissociate sensory loss on u/l and her DTRs were brisk and planters extensors. A provisional diagnosis of intramedul;ary sol(tumour) was made and MRI Cervical spine was ordered which revealed Large tumour at CV junction . Tumour was operated was us and subtotal removal of intramedullary tumour was dope post operative biopsy was subependymoma which is a less aggresive tumour.

 PATIENT AFTER SURGERY  ON FIRST FOLOW UP

 PRE OPOPERATIVE MRI SHOWING LARGE TUMOUR

INTRAOPERATIVE PICTRES AFTER TUMOUR REMOVAL