ArticleJournal of surgical case reports2026
Function-preserving microsurgical resection of a massive sporadic cervicothoracic dumbbell neurofibroma: a case report.
Article in Journal of surgical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Sporadic cervicothoracic dumbbell neurofibromas are rare and surgically challenging when large. A 44-year-old male presented with left cervical swelling, cervicobrachial pain, and C8-T1 deficits with hypothenar atrophy. Magnetic resonance imaging revealed a 6.4 × 6.6 × 11 cm C4-D3 dumbbell mass without invasion. A single-stage posterior C6-D1 laminectomy with microsurgical excision and Cavitron Ultrasonic Surgical Aspirator-assisted debulking achieved complete resection. Postoperatively, pain resolved with marked neurological recovery. Histopathology confirmed WHO Grade I neurofibroma. This case shows that even giant lesions can be safely managed with meticulous microsurgical planning.
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