T1 sagittal post gad T2 sagittal GRE sagittal

Diagnosis: Presumed cavernous hemangioma

Cavernous hemangiomas of the cervical spine are unusual. The thoracic spine is the most common location followed by cervical spine. Patients tend to be women and present in adulthood. Spinal cavernous hemangiomas are no different histologically compared to intracranial lesions. They are dilated vascular channels lined by endothelium with no normal intervening neural tissue. Clinically they may be asymptomatic or cause sensorimotor symptoms which may progress to quadriplegia. They may have variable enhancement and signal characteristics depending on the age of the blood products. Cavernous hemangiomas may be familial and multiple in both the brain and spinal cord.

In the proper history old trauma could look like this. Hemorrhagic neoplasm is very unlikely given the lack of enhancement Related Cases

Ependymoma Lung cancer mets Type II spinal AVM