Primary Extramedullary Ependymoma of the Cervical Spine : Case Report and Review of the Literature.
10.3340/jkns.2011.50.1.57
- Author:
Dong Wuk SON
1
;
Geun Sung SONG
;
In Ho HAN
;
Byung Kwan CHOI
Author Information
1. Department of Neurosurgery, School of Medicine, Pusan National University, Busan, Korea. gnsong@pusan.ac.kr
- Publication Type:Case Report
- Keywords:
Intradural extramedullary;
Ependymoma;
Cervical spine
- MeSH:
Ependymoma;
Extremities;
Female;
Follow-Up Studies;
Humans;
Hypogonadism;
Magnetic Resonance Imaging;
Middle Aged;
Mitochondrial Diseases;
Muscle Weakness;
Neck Pain;
Ophthalmoplegia;
Recurrence;
Spinal Cord;
Spinal Cord Compression;
Spine
- From:Journal of Korean Neurosurgical Society
2011;50(1):57-59
- CountryRepublic of Korea
- Language:English
-
Abstract:
Intradural extramedullary (IDEM) ependymomas occur very rarely and little has been reported about their clinical characteristics. The authors present a case of a 57-year-old woman with an IDEM ependymoma. She was referred for the evaluation of a 4-month history of increasing neck pain and muscular weakness of the left extremities. Magnetic resonance imaging (MRI) of the cervical spine demonstrated an IDEM tumor with spinal cord compression. At the time of surgery, an encapsulated IDEM tumor without a dural attachment or medullary infiltration was noted, but the tumor capsule adherent to the spinal cord and root was left in place to minimize the risk of neurological sequelae. Histologic examination revealed a benign classic ependymoma. The post-operative course was uneventful and radiotherapy was performed. The patient showed an excellent clinical recovery, with no recurrence after 5 years of follow-up.
