68-year-old male presented with significant biologic pain. Sagittal (a) and axial (b) MRI images showed a cystic lesion at L2 with linear enhancement around the periphery. The tumor was approached via an L2 laminectomy with partial laminectomies at L1 and L3 and intradural exploration. A large motor root, identified with 2 mamp stimulation was identified and dissected off of the tumor capsule. The sensory roots of origin were sharply divided and the tumor was removed en bloc.
