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Paraspinal and Foraminal Plexiform Neurofibromas: A Case Report from Radiological Standpoint

Padala RN and Malla UMR

There are two types of Neurofibromatosis (NF), NF type 1 and NF type 2. NF 1 is an inherited autosomal dominant disease involving skin and peripheral nerves. NF 2 is a rare autosomal dominant neurocutaneous disorder manifesting as the development of multiple CNS tumours. The disease predominantly affects men, with M:F ratio of 3:1. The clinical manifestations do vary according to the region of involvement. All cases of NF 1 should undergo further investigation, due to possible development of complications as the nerves supply the vital organs. Surgical resection and biopsy should be avoided and such patients should undergo clinical and radiological follow-up at subsequent intervals. This case reveals the radiological perspective of imaging, preliminary diagnosis, follow-up and palliative care of symptomatic patients, with plexiform neurofibromas.

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