Presentation
Altered arm sensation and ataxic gait.
Patient Data
Enhancing intramedullary spinal cord tumor extending from C3 to C5 with associated syrinx. Small T2 hypointensity at the inferior aspect of the mass may be hemosiderin (hemosiderin cap sign). No prominent T2 flow voids.
Case Discussion
The patient proceeded to resection of this mass.
Histopathology
MICROSCOPIC DESCRIPTION: Paraffin sections show fragments of a moderately hypercellular ependymoma. Tumor cells show mild nuclear pleomorphism. A very occasional mitotic figure is identified (1 in 20 HPF). There is no microvascular proliferation and no necrosis is identified. Part of the lining of an ependymal canal is noted at one edge of one fragment.
DIAGNOSIS: Cervical spinal tumor: Ependymoma (WHO Grade II).
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