Spinal neurofibromas are the most prevalent group of spinal tumors. They occur sporadically or in association with Neurofibromatosis type-1 (NF1, von Recklinghausen disease). A neurofibroma’s developing a "dumbbell tumor" is a situation which is quite often seen. Surgical intervention is indicated when myelopathy and motor deficits develop in the case of paraspinal neurofibromas. The goal of surgery is total removal of the tumor. However, in selected cases partial removal of the tumor with adequate spinal cord decompression can be preferred to prevent severe complications such as vertebral artery injury. In this manuscript, we presented a case of neurofibroma with neck and shoulder pain and dumbbell tumor formation at the level of C1 that was in close relation with the vertebral artery. Possible surgical interventions are discussed.

Keywords: dumbbell formation, spinal neurofibroma, surgical treatment, upper servical area