C2 spinal nerve schwannomas are rarely encountered, especially in children and young adults. Due to their localization surgical management encompasses a number of distinctive features. We describe two cases of C2 spinal nerve tumors, schwannoma and neurofibroma, in patients aged 13 and 17, respectively. Both patients presented with compressive cervical myelopathy due to large tumors at C1–C2 level with extra-intracanal hourglass extension. Despite prominent tumor size and location of their component ventrally to the spinal cord, our selected surgical approach allowed, in both instances, total tumor removal with minimum surgical trauma and no neurological deficit.

很少见到C2脊神经神经鞘瘤，尤其是在儿童和年轻人中。由于它们的局限性，外科手术管理具有许多独特的特征。我们描述了分别在13岁和17岁的两个C2脊神经肿瘤，神经鞘瘤和神经纤维瘤的病例。两名患者均因C1-C2级大肿瘤伴管外沙漏延伸而出现压迫性颈椎病。尽管肿瘤大小显着且其组成部分位于脊髓的腹侧，但在两种情况下，我们选择的手术方法仍可将肿瘤全部切除，而手术创伤最小且无神经功能缺损。