Myxopapillary ependymoma

Case contributed by Dr Ammar Haouimi

Presentation

Weakness of the lower limbs

Patient Data

Age: 35 years
Gender: Male
MRI

There is an intramedullary lesion of central location within the conus medullaris at the level of T10-T12, displacing the nerve roots of the cauda equina. The lesion is composed of small cystic areas of low signal on T1 and T2, and a solid component of isosignal to the cord on T1, iso-to high signal on T2 with heterogeneous enhancement on postcontrast sequences. An area of vasogenic edema is noted above the lesion. Mild posterior vertebral scalloping at T11 with no bony destruction.

 

Case Discussion

MRI features of a spinal cord tumor centered on the conus medullaris; probably a myxopapillary ependymoma

Myxopapillary ependymoma is considered as a variant type of ependymoma, and the most common tumors of the cauda equina and/or conus medullaris region.

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Case information

rID: 79045
Published: 19th Jun 2020
Last edited: 3rd Jul 2020
System: Spine
Inclusion in quiz mode: Included
Institution: Aurès Medical Imaging Center - Batna Algeria

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