Myxopapillary ependymoma

Case contributed by Bahman Rasuli
Diagnosis almost certain

Presentation

Lower limbs weakness.

Patient Data

Age: 35 years
Gender: Female
mri

There is an 11 x 18 x 57 mm well-defined, longitudinally oriented intradural extramedullary spinal lesion at D11-L1 levels displacing the cord anteriorly

The lesion displayed isointense on T1, heterogenous hyperintense on T2 weighted images, and shows vivid heterogenous enhancement on post-contrast images

No internal hemorrhage

No suspicious marrow signal abnormality.

Case Discussion

Regarding the MRI findings, myxopapillary ependymoma is the most likely diagnosis with a differential diagnosis of schwannoma or paraganglioma. 

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