Surgical treatment for posttraumatic hemorrhage inside a filum terminale myxopapillary ependymoma: a case report and literature review

Purpose Symptoms of cauda equina syndrome due to ependymoma in the conus medullaris or filum terminale develop slowly. However, hemorrhagic change inside spinal tumors can induce acute neurologic decline. Here, we report a case of posttraumatic hemorrhage inside a filum terminale myxopapillary epend...

Full description

Saved in:
Bibliographic Details
Published in:European spine journal 2016-05, Vol.25 (Suppl 1), p.239-244
Main Authors: Morimoto, Daijiro, Isu, Toyohiko, Kim, Kyongsong, Isobe, Masanori, Takahashi, Tatsuro, Ishida, Yusuke, Takei, Hidehiro, Morita, Akio
Format: Article
Language:English
Subjects:
Accidental Falls
Adult
Case Report
Cauda Equina - surgery
Decompression, Surgical - methods
Ependymoma - complications
Ependymoma - pathology
Ependymoma - surgery
Hemorrhage - etiology
Hemorrhage - pathology
Hemorrhage - surgery
Humans
Magnetic Resonance Imaging - methods
Male
Medicine
Medicine & Public Health
Neurosurgery
Polyradiculopathy - etiology
Polyradiculopathy - surgery
Spinal Cord Neoplasms - complications
Spinal Cord Neoplasms - pathology
Spinal Cord Neoplasms - surgery
Surgical Orthopedics
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Purpose Symptoms of cauda equina syndrome due to ependymoma in the conus medullaris or filum terminale develop slowly. However, hemorrhagic change inside spinal tumors can induce acute neurologic decline. Here, we report a case of posttraumatic hemorrhage inside a filum terminale myxopapillary ependymoma presenting as acute neurologic decline, which had a positive prognosis after surgical resection. Methods A 28-year-old man presented with buttock pain, sensory disturbance, and motor weakness of bilateral lower extremities after falling on ice during smelt fishing. Magnetic resonance imaging demonstrated a mixed-intensity hemorrhagic intradural mass extending from L1 to L2. Results The patient underwent emergent surgical decompression and resection. Pathologic examination revealed a myxopapillary ependymoma with intratumoral hemorrhage. After surgery, the patient demonstrated gradual improvement in neurologic deficits and no tumor recurrence. Conclusions This is the first case of a filum terminale myxopapillary ependymoma with an acute neurologic decline after injury. Early diagnosis and treatment are associated with favorable outcomes.
ISSN:0940-6719
1432-0932
DOI:10.1007/s00586-016-4521-5