C2 Primary leiomyoma in an immunocompetent woman
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Primary smooth muscle tumors of the central nervous system (CNS) are exceedingly rare. We report a primary extradural leiomyoma involving the second cervical vertebra (C2). There are many published reports of benign metastasizing leiomyoma (BML), but primary extradural leiomyoma is rarely reported. Primary leiomyoma of the bone is more common in the facial bones and is less common in the skull bones and vertebra. Our report appears to be the first documentation of primary leiomyoma involving the C2 vertebra in an immunocompetent woman without a uterine leiomyoma. We also discuss the histogenesis and review the literature on smooth muscle tumors of the CNS.

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