This report presents the longest spanning intradural myxopapillary ependymoma consisting of 23 vertebral segments in the literature. An 11-year-old boy presented with right arm pain, mid back pain and progressive paraparesis associated with urinary retention. On MRI, the patient was found to have an intradural lesion extending from C5 to S3. The patient underwent T7 and T8 laminectomies with an almost total resection except for a minimal residual adhering to the spinal cord. The patient with the largest spanning spinal cord ependymoma was managed satisfactorily without significant morbidity. A small laminectomy may be used in some occasions despite the tumour's extensive size because it may have a single point of attachment to the cord.
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http://dx.doi.org/10.1136/bcr-2020-239453 | DOI Listing |
Spinal Cord
December 2024
Department of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan.
Cureus
September 2024
Emergency Medicine, United Lincolnshire Hospitals NHS Trust, Boston, GBR.
Myxopapillary ependymoma (MPE) is a rare, slow-growing tumor that commonly arises in the lumbosacral region of the spinal cord, within the filum terminale and cauda equina. The frequent presentation of MPE is back, sacral, or leg pain. The tumor's size, site, and extension usually influence these symptoms.
View Article and Find Full Text PDFAJNR Am J Neuroradiol
September 2024
From the Department of Radiology, Geneva University Hospitals, Geneva, Switzerland (I.H.), Department of Neuropathology, Geneva University Hospitals, Geneva, Switzerland (K.L.E., D.M), Clinic of Granjettes, Hirslanden, Chêne-Bougeries, Swizerland (M.I.V.) and Geneva University, Faculty of Medicine, Geneva Swizerland (I. H. and M.I.V.).
Surg Neurol Int
July 2024
Department of Neurological Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania, United States.
Background: Ependymomas, rare glial brain tumors, account for <5% of all brain tumors. Interestingly, over 60% of ependymomas occur in the spinal cord of adults, including those originating from the filum terminale, while the rest are found within the brain. The World Health Organization (WHO) categorizes ependymomas into three grades: subependymomas and myxopapillary ependymomas ([MEPNs]; WHO grade I), classic ependymomas (WHO grade II), and anaplastic ependymomas (WHO grade III).
View Article and Find Full Text PDFWorld Neurosurg
September 2024
Department of Health Sciences, Homi Bhabha National Institute, Mumbai, India. Electronic address:
Myxopapillary ependymomas (MPEs) are well-circumscribed tumors arising mainly from the caudal neuraxis, i.e., conus medullaris (CM) and filum terminale (FT), commonly seen in adults with median age at presentation of 39 years.
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