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Summary Ganglioneuromas are benign tumors that arise from the ganglion cells of the sympathetic nervous system. They are most commonly localized in the posterior mediastinum, followed by the retroperitoneum, cervical region, and adrenal gland. We encountered a rare paraspinal neurogenic tumor with extension into the spinal extradural space that presented with a dumbbell shape and bony indentation. The clinical features, radiographic analysis, and surgical approach are briefly discussed. [ABSTRACT FROM AUTHOR]