We reported a case of cauda equina myxopapillary
ependymoma in a patient who presented with atypical
history of progressive blurring of vision. Ophthalmology
examination revealed relative afferent pupillary defect,
binasal hemianopia and papilloedema. This case report
serves as a reminder that the intraspinal tumour could be a
cause of papilloedema, despite rare, should be considered
in a hydrocephalus patient who presented with no
intracranial pathology and minimal spinal symptoms.