Hourglass Neuroma

The surgical strategy for a neuroma located in the mid or lower cervical spine is more complicated and the selection of the most appropriate approach remains controversial. this case provides clarification on the surgical decision or strategy to be taken by referring to the Asazuma classification. We report an exceptional case of intradural, extradural and paravertebral spinal neuroma of the second cervical vertebra. This is a 57-year-old woman who presents with a laterocervical mass and functional impotence of four limbs for 5 months with reduction in the perimeter of steps in whom there is a spinal syndrome and spastic tetraparesis with a pyramidal syndrome in all four limbs. The posterior approach was used. MRI is currently the main imaging examination allowing not only an early positive diagnosis but also the differential diagnosis and especially the surgical planning.