Myelopathy in a 6-year-old girl caused by neurofibromatosis Type 1: a case report

Spine J. 2008 Sep-Oct;8(5):836-40. doi: 10.1016/j.spinee.2007.04.018. Epub 2007 Jun 26.

Abstract

Background context: Even when there is radiological evidence of spinal involvement, young patients with neurofibromatosis Type 1 (NF-1) seldom have symptoms. We report the case of a child who developed rapidly progressive myelopathy.

Purpose: To describe a technique used to prevent postoperative spinal deformity and instability, after removal of a dumbbell-shaped tumor in a 6-year-old child.

Study design: Case report.

Patient sample: A 6-year-old female.

Methods: Retrospective case review.

Results: The patient underwent a resection of the cervical dumbbell tumor using an osteoplastic laminectomy technique to prevent postoperative spinal deformity. At 2-year follow-up, there was no clinical or radiographic evidence of complications or spinal kyphotic deformity.

Conclusions: The case of a 6-year-old girl with cervical myelopathy caused by NF-1 was reported. The tumor was removed after osteoplastic laminectomy, which could prevent postoperative kyphotic deformity.

Publication types

  • Case Reports

MeSH terms

  • Cervical Vertebrae
  • Child
  • Decompression, Surgical
  • Female
  • Humans
  • Magnetic Resonance Imaging
  • Neurofibromatosis 1 / complications*
  • Neurofibromatosis 1 / pathology
  • Spinal Cord Diseases / etiology*
  • Spinal Cord Diseases / surgery*
  • Spinal Neoplasms / complications*
  • Spinal Neoplasms / pathology