The many faces of primary cauda equina myxopapillary ependymoma
Introduction: Myxopapillary ependymoma (MPE) is a benign and slow growing tumor that originates exclusively from the conus medullaris and cauda equina nervous tissue. It occurs more commonly in young patients. In addition, clinical presentations are non-specific and may mimic benign conditions. Magn...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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London Academic Publishing
2017-09-01
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| Series: | Romanian Neurosurgery |
| Subjects: | |
| Online Access: | https://www.journals.lapub.co.uk/index.php/roneurosurgery/article/view/1025 |
| _version_ | 1811260551269974016 |
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| author | Mohammad Zare Mehrjardi Samira Mirzaei Hamid Reza Haghighatkhah |
| author_facet | Mohammad Zare Mehrjardi Samira Mirzaei Hamid Reza Haghighatkhah |
| author_sort | Mohammad Zare Mehrjardi |
| collection | DOAJ |
| description | Introduction: Myxopapillary ependymoma (MPE) is a benign and slow growing tumor that originates exclusively from the conus medullaris and cauda equina nervous tissue. It occurs more commonly in young patients. In addition, clinical presentations are non-specific and may mimic benign conditions. Magnetic resonance imaging (MRI) is the imaging modality of choice for evaluating this tumor. We hereby report on two young patients with long-lasting non-specific symptoms, which were clinically attributed to benign conditions. However, cauda equina tumor was revealed on MRI in both patients.
Case report: Two cases of cauda equina MPE, a 19-year-old female and a 38-year-old male, with different clinical manifestations are reported. The first patient presented with paresis and paresthesia of the lower limbs, and the second patient’s complaint was chronic low-back pain and urinary incontinence. In both cases, MRI detected a tumor originated from the cauda equina, and histopathologic examination was compatible with MPE.
Conclusion: Cauda equina tumors should be considered as a differential diagnosis in the young patients presented with neurologic deficits in the lower limbs, sphincter or erectile dysfunction, and even a simple low-back pain (particularly when symptoms are long-lasting and/or progressive). |
| first_indexed | 2024-04-12T18:49:18Z |
| format | Article |
| id | doaj.art-872ea3a5160e4479863cef21a01e4e45 |
| institution | Directory Open Access Journal |
| issn | 1220-8841 2344-4959 |
| language | English |
| last_indexed | 2024-04-12T18:49:18Z |
| publishDate | 2017-09-01 |
| publisher | London Academic Publishing |
| record_format | Article |
| series | Romanian Neurosurgery |
| spelling | doaj.art-872ea3a5160e4479863cef21a01e4e452022-12-22T03:20:32ZengLondon Academic PublishingRomanian Neurosurgery1220-88412344-49592017-09-01313The many faces of primary cauda equina myxopapillary ependymomaMohammad Zare MehrjardiSamira MirzaeiHamid Reza HaghighatkhahIntroduction: Myxopapillary ependymoma (MPE) is a benign and slow growing tumor that originates exclusively from the conus medullaris and cauda equina nervous tissue. It occurs more commonly in young patients. In addition, clinical presentations are non-specific and may mimic benign conditions. Magnetic resonance imaging (MRI) is the imaging modality of choice for evaluating this tumor. We hereby report on two young patients with long-lasting non-specific symptoms, which were clinically attributed to benign conditions. However, cauda equina tumor was revealed on MRI in both patients. Case report: Two cases of cauda equina MPE, a 19-year-old female and a 38-year-old male, with different clinical manifestations are reported. The first patient presented with paresis and paresthesia of the lower limbs, and the second patient’s complaint was chronic low-back pain and urinary incontinence. In both cases, MRI detected a tumor originated from the cauda equina, and histopathologic examination was compatible with MPE. Conclusion: Cauda equina tumors should be considered as a differential diagnosis in the young patients presented with neurologic deficits in the lower limbs, sphincter or erectile dysfunction, and even a simple low-back pain (particularly when symptoms are long-lasting and/or progressive).https://www.journals.lapub.co.uk/index.php/roneurosurgery/article/view/1025cauda equinaependymomamagnetic resonance imagingmyxopapillary ependymoma, radiology |
| spellingShingle | Mohammad Zare Mehrjardi Samira Mirzaei Hamid Reza Haghighatkhah The many faces of primary cauda equina myxopapillary ependymoma Romanian Neurosurgery cauda equina ependymoma magnetic resonance imaging myxopapillary ependymoma, radiology |
| title | The many faces of primary cauda equina myxopapillary ependymoma |
| title_full | The many faces of primary cauda equina myxopapillary ependymoma |
| title_fullStr | The many faces of primary cauda equina myxopapillary ependymoma |
| title_full_unstemmed | The many faces of primary cauda equina myxopapillary ependymoma |
| title_short | The many faces of primary cauda equina myxopapillary ependymoma |
| title_sort | many faces of primary cauda equina myxopapillary ependymoma |
| topic | cauda equina ependymoma magnetic resonance imaging myxopapillary ependymoma, radiology |
| url | https://www.journals.lapub.co.uk/index.php/roneurosurgery/article/view/1025 |
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