Patients with spinal neurogenic tumors may present with localized masses, deformities, pain, neurological dysfunction, pathological fractures and other symptoms. Spinal neurogenic tumors are common primary posterior mediastinal tumors, most of which grow in the paraspinal groove of the posterior mediastinum, while a few grow in the intervertebral foramen resulting in dumbbell-shaped growth. Generally, benign tumors account for most of the tumors, including nerve sheath tumor, neurofibroma and ganglion cell neuroma, etc. A few malignant tumors include malignant nerve sheath tumor, ganglionoblastoma, sympathetic neuroblastoma and so on. Benign neurogenic tumors have inconspicuous early symptoms and slow growth rate. Patients with malignant neurogenic tumors may be accompanied by symptoms such as chest tightness and shortness of breath, involuntary limb movements, and slow movements. In addition, patients may also experience paroxysmal hypertension, loss of vision, fundus pain, and protruding eyeballs.