A case of lumbar myxopapillary ependymoma discovered due to headache

Nozaki, Ichiro; Matsumoto, Y.; Yamaguchi, Kazuyoshi; Shimizu, Yu; Kumahashi, Kazuhiko; Munemoto, S

doi:10.5692/clinicalneurol.53.136

Cited by 3 publications

(3 citation statements)

References 21 publications

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“…[5] According to some authors, headaches accompanied by severe pain in the lower back can be assumed as a subarachnoid hemorrhage in a patient with a tumor of the spinal cord. [6] In our case, the headache was accompanied not only concomitant low back pain, but the pain in the legs, abdominal pain, and vomiting. Presented nature of pain can manifest itself not only in the subarachnoid hemorrhage, but also in associated intracranial pathology.…”

Section: Asian Journal Of Neurosurgerymentioning

confidence: 48%

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Unspecific clinical manifestation of cauda equina myxopapillary ependymoma

2015

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A 9-year-old boy admitted to the neurosurgical hospital complaining of headache, vomiting, abdominal pain, and weakness in the arms and legs, urinary retention. Previously, the patient had a treatment of pediatricians. He was examined, magnetic resonance imaging revealed the tumor of the conus medullaris and cauda equina. The surgery was performed with removal myxopapillary ependymoma (ME). Postoperative neurological symptoms regressed; he has received radiotherapy postoperatively. This case illustrates a rare clinical presentation of ME, which simulated intracranial, thoracic, and caudal pathology. We presented features of the clinical presentation, diagnostics, and treatment options of this ependymoma.

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Section: Asian Journal Of Neurosurgerymentioning

confidence: 48%

“…[ 5 ] According to some authors, headaches accompanied by severe pain in the lower back can be assumed as a subarachnoid hemorrhage in a patient with a tumor of the spinal cord. [ 6 ]…”

Section: Discussionmentioning

confidence: 99%

Unspecific clinical manifestation of cauda equina myxopapillary ependymoma

2015

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“…Acute neurologic presentations of ICME are very rare. Although ependymomas involving the spinal cord in the thoracolumbar, [6][7][8] lumbar, [9][10][11][12][13][14][15][16] thoracic, [17,18] and cervicothoracic [19] regions have been reported to show acute hemorrhagic manifestation, such instances in ICME have never been reported. A thorough search on the popular medical search engines such as PubMed and Google Scholar was done to confirm this finding.…”

Section: Discussionmentioning

confidence: 99%

Cervicomedullary ependymoma with hemorrhage: A case report and review of literature

Kutty¹,

Ohmori

Yamada

et al. 2020

Asian J Neurosurg

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Ependymoma is a rare tumor central nervous system that arises from the ependymal lining of the ventricles or the central canal of the spinal cord. They are of neuroectodermal in origin and constitute about 30%–86% of tumors arising in the spinal cord. The occurrence of these tumors in the cervicomedullary region is very rare. Sudden symptomatic neurologic presentations due to hemorrhage in cervicomedullary ependymoma is very rare and so far have never been reported. Mostly presenting as neurologic deficits involving limbs, these tumors pose a technical challenge in their removal. We present a patient who presented with sudden-onset dysesthesia of the upper and lower limbs. On imaging, he was found to have a cystic medullary tumor extending to the cervical region with hemorrhage. We discuss the epidemiology, surgical challenges, and outcome along with review of literature of these rare tumors located in this precarious location.

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Spontaneous Hemorrhage of a Spinal Ependymoma in the Filum Terminale Presenting with Acute Cauda Equina Syndrome: Case Report

Terao

Kato

Ishii

et al. 2016

NMC Case Report Journal

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We present a rare case of spontaneous hemorrhage of a spinal ependymoma in the filum terminale presenting with acute cauda equina syndrome. A 16-year-old male presented with a sudden onset of severe back pain that began 10 days before hospitalization. This symptom progressed, followed by development of decreased sensation in the lower extremities, bladder dysfunction, and motor weakness that advanced to an inability to walk. Spinal magnetic resonance imaging revealed a hemorrhagic mass from Th12 to L2 and L4 to L5, and clinical signs indicated acute cauda equina compression. One day after admission to the hospital, emergency surgery was performed. A spinal tumor in the conus portion with a spinal subarachnoid hemorrhage was seen. Gross total excision of the massive hematoma mixed with the underlying tumor was performed. Pathological findings of the excised tumor demonstrated a WHO Grade II cellular ependymoma of the non-myxopapillary type. The patient made a significant recovery. The ability to walk was restored, and impaired bladder function improved at follow-up. Early diagnosis and suitable treatment are associated with a more favorable outcome.

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A case of lumbar myxopapillary ependymoma discovered due to headache

Cited by 3 publications

References 21 publications

Unspecific clinical manifestation of cauda equina myxopapillary ependymoma

Unspecific clinical manifestation of cauda equina myxopapillary ependymoma

Cervicomedullary ependymoma with hemorrhage: A case report and review of literature

Spontaneous Hemorrhage of a Spinal Ependymoma in the Filum Terminale Presenting with Acute Cauda Equina Syndrome: Case Report

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