Myxopapillary ependymoma

Case contributed by Tanzilur Rahman
Diagnosis probable

Presentation

Lower limb weakness and low back pain.

Patient Data

Age: 25 years
Gender: Male
mri
This study is a stack
Coronal T2
fat sat
This study is a stack
Axial T1
C+ fat sat
This study is a stack
Axial
T2
This study is a stack
Axial
T1
This study is a stack
Sagittal T1
C+ fat sat
This study is a stack
Axial
T2
This study is a stack
Coronal T1
C+ fat sat
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Info

A well-circumscribed expansile mixed-signal intensity eccentric intramedullary lesion having solid and cystic components is seen at conus medullaris (D12-L1 level) measuring about 40 x 14 x 14 mm. The lesion has a linear T2WI hypointense component. Moderate enhancement of solid components is seen in post-contrast images.

Syrinx is seen at the lower dorsal level.

Case Discussion

Myxopapillary ependymoma is a distinct type of spinal cord ependymoma that usually involves the conus medullaris and cauda equina. It is a benign neoplasm and is classified as a grade 2 tumor in the WHO classification.

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