1. S NF

2. 16 YO Male Fall From Horse • Acute Upper Thoracic BP • No Myelopathy • Trace weakness Intrinsics Rt

3. No Prior Hx BP • Active Pitcher Select Jr Baseball • No Cont. FH • No CafeAu Lait • No Skin Lesions

4. CT Biopsy • Sample Error ? • Resectable Tract?

6. Tumor ?? Fx

8. Osseous Dysplasia

9. Inv. Lower Plexus • Primary Foraminal Inv T2

10. Eval Poss Intradural Extension

11. Surgical Approach • Intralesional • EnBloc • Neurologic Deficit