Presentation
Paresthesia in both arms and neck tenderness.
Patient Data
Sagittal T2WI shows an intramedullary lesion with mixed intensity, an extensive syrinx, and edema, as well as dilation of the spinal cord.
Axial MEDIC (GRE) sequence shows blooming due to hemosiderin, also depict a caudal hypointensity that corresponds to the hemosiderin cap sign, seen in spinal ependymomas.
Sagittal T1+Gd shows heterogeneous enhancement of the lesion.
Biopsy of the lesion was performed, pathologic diagnosis was classic ependymoma WHO type II. Immunophenotype EMA (+), CD99(+), CD56(+), PAFG(+), Ki 67 2%.
Case Discussion
Biopsy of the lesion was performed.
Pathologic diagnosis: classic ependymoma WHO type II. Immunophenotype EMA (+), CD99(+), CD56(+), PAFG(+), Ki67 2%.
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