Altered arm sensation and ataxic gait.
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Enhancing intramedullary spinal cord tumour extending from C3 to C5 with associated syrinx. Small T2 hypointensity at the inferior aspect of the mass may be haemosiderin. No prominent T2 flow voids.
The patient proceeded to resection of this mass.
MICROSCOPIC DESCRIPTION: Paraffin sections show fragments of a moderately hypercellular ependymoma. Tumour 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 tumour: Ependymoma (WHO Grade II).