Figure 1: Sagittal and axial T2 (top row left and bottom row left) and sagittal and axial T1 post-contrast fat-saturated (FS) (top row right and bottom row right) images of the cervical spine demonstrate a slightly eccentric, T2 hyperintense mass with patchy enhancement expanding the cervical spinal cord in this pediatric patient who presented with paresthesia and weakness in the upper extremities. The imaging appearance, location, and clinical history favor astrocytoma although other intramedullary neoplasms could be included in the differential diagnosis.
- Age groups: Pediatrics > Adults (3rd to 5th decades of life).
- Gender: M > F
- Presentation: Pain, paresthesia, motor symptoms.
- Associations: NF-1
- Thoracic > Cervical spi...