Abstract
OBJECTIVE: Ependymomas of the conus medullaris-cauda equina-filum terminale region are typically solitary lesions. In this report, we describe the clinical presentation, radiographic findings, operative details, and pathological features of a patient with a conus medullaris ependymoma and a filum terminale lipoma. CLINICAL PRESENTATION: A 40-year-old woman presented with increasing low back pain and bowel and bladder dysfunction. Magnetic resonance imaging revealed a partially cystic enhancing lesion at the conus medullaris and a T1-weighted hyperintense mass within the filum terminale. INTERVENTION: An L2-L3 laminotomy/laminoplasty was performed for gross total resection of the mass. Histopathological examination demonstrated a conus medullaris ependymoma and filum terminale lipoma. The patient experienced complete resolution of her preoperative symptoms. CONCLUSION: Spinal cord ependymomas are almost exclusively single lesions and their coexistence with other pathological entities is rare. In this report, we describe a patient with a concomitant conus medullaris ependymoma and filum terminale lipoma.
Original language | English (US) |
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Pages (from-to) | E1214.1-E1214.4 |
Journal | Neurosurgery |
Volume | 58 |
Issue number | 6 |
DOIs | |
State | Published - Jun 1 2006 |
Keywords
- Cauda equina
- Ependymoma
- Filum terminale
- Lipoma
- Myxopapillary
- Spinal cord tumor
ASJC Scopus subject areas
- Surgery
- Clinical Neurology