Presentation
Weakness of the lower limbs.
Patient Data
Age: 30 years
Gender: Male
From the case:
Spinal myxopapillary ependymoma
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There is a well-defined ovoid solid mass, arising from the lower spinal cord measuring 6.7 x 2.2 x 1.6 cm and extending from T12 to L2 level. It shows an isosignal to the spinal cord on T1, inhomogeneous high signal on T2 with heterogeneous enhancement following IV contrast. Intramedullary edema above the tumor is noted.
Case Discussion
MRI features are suggestive of a myxopapillary ependymoma.
On imaging, the main differential diagnosis of myxopapillary ependymoma includes: