Title: A Rare Case of Intradural Extramedullary Myxopapillary Ependymoma At Thoracolumbar Junction
Authors: Dr Pushkraj Baswant Birajdar, Dr Syed Ameer Basha Paspala
DOI: https://dx.doi.org/10.18535/jmscr/v5i8.66
Abstract
A 29 year male with chronic low back pain with bilateral lower limbs paraesthesia presented in OPD. After evaluation with MRI Thoraco-Lumbar Spine found to have T12-L1 level IDEM mass compressing cauda equina? Schwanoma. He was posted for surgery and total excision of mass done with uneventful post-op period. On histopathological examination it was diagnosed as Myxopapillary Ependymoma. This is rare variant of such tumor in view of rare location and rare clinical presentation.
Keywords-Paraesthesia, MRI spine, IDEM, Cauda Equina, Schwannoma, Myxopapillary Ependymoma.
References
- Jarvik JG, Deyo RA. Diagnostic evaluation of low back pain with emphasis on imaging. Annals Internal Medicine. 2002; 137:586–97. [PubMed]
- Choi JY, Chang KH, Yu IK, et al. Intracranial and spinal ependymomas: Review of MR images in 61 patients. Korean J Radiol. 2002;3:219–228. [PMC free article] [PubMed]
- Sakai Y, Matsuyama Y, Katayama Y, et al. Spinal MyxopapillaryEpendymoma: Neurological deterioration in patients treated With surgery. Spine. 2009; 34:1619–1624. [PubMed]
- Wippold FJ, Smirniotopoulos JG, Moran CJ, Suojanen JN, Vollmer DG. MR imaging of MyxopapillaryEpendymoma: Findings and value to determine extent of tumour and its relation to intraspinal structures. Am J Radiol. 1995; 165:1263–67. [PubMed]
- Bagley CA, Wilson S, Kothbauer KF, Bookland MJ, Epstein F, Jallo GI. Long term outcomes following surgical resection of Myxopapillary ependymomas. Neurosurg Rev. 2009; 32:321–334. [PubMed]
- Bavbek M, Altinors MN, Caner HH, Bilezikci B, Agildere M. Lumbar MyxopapillaryEpendymoma mimicking neurofibroma. Spinal Cord. 2001; 39:449–452. [PubMed]
- Sonneland PR, Scheithauer BW, Onofrio BM. Myxopapillary Ependymoma: A clinicopathologic and immunohistochemical study of 77 cases. Cancer. 1985; 56:883–[PubMed]