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Unspecific clinical manifestation of cauda equina myxopapillary ependymoma.

Kariev GM, Halikulov ES, Rasulov SO - Asian J Neurosurg (2015 Jul-Sep)

Bottom Line: Postoperative neurological symptoms regressed; he has received radiotherapy postoperatively.This case illustrates a rare clinical presentation of ME, which simulated intracranial, thoracic, and caudal pathology.We presented features of the clinical presentation, diagnostics, and treatment options of this ependymoma.

View Article: PubMed Central - PubMed

Affiliation: Republican Scientific Center of Neurosurgery, Tashkent Pediatric Medical Institute, Tashkent, Uzbekistan.

ABSTRACT
A 9-year-old boy admitted to the neurosurgical hospital complaining of headache, vomiting, abdominal pain, and weakness in the arms and legs, urinary retention. Previously, the patient had a treatment of pediatricians. He was examined, magnetic resonance imaging revealed the tumor of the conus medullaris and cauda equina. The surgery was performed with removal myxopapillary ependymoma (ME). Postoperative neurological symptoms regressed; he has received radiotherapy postoperatively. This case illustrates a rare clinical presentation of ME, which simulated intracranial, thoracic, and caudal pathology. We presented features of the clinical presentation, diagnostics, and treatment options of this ependymoma.

No MeSH data available.


Related in: MedlinePlus

Tumor cells around vessels with mucoid degeneration
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Figure 4: Tumor cells around vessels with mucoid degeneration

Mentions: A 9-year-old boy was admitted to the hospital with complaints of headache, weakness in the lower extremities, urinary retention, abdominal pain, vomiting, and loss of weight. The onset of illness was 3 months ago with headache and abdominal pain. Laboratory test data were all within the normal ranges. Examining the status of the abdominal cavity and ultrasound revealed no pathology. However, with the lapse of time, the patient's symptoms continued and the additional neurological deficit appeared. Neurologically observed lower paraparesis muscle strength of 3/3 points, paraparesis of upper extremities 4/4 points, hypesthesia from L1 on conductive type, pain in the legs and nuchal rigidity [Figure 1]. On electromyography, signs of conductive disorders at the level of the thoracic segments of the spinal cord. Visual function without pathology. In a series of magnetic resonance imaging (MRI) images revealed the tumor with solid and cystic components from level T10 to L4 vertebra [Figure 2]. MRI examination of the cervical spine and head did not reveal pathology. A cystic expansion of the central canal revealed at the mild and upper thoracic level of the spinal cord [Figure 3]. The patient underwent decompressive laminectomy where we found tumor and subarachnoid hemorrhage. We have removed the cystic component extracapsular, and part of the solid tumors. Histopathology showed ME [Figure 4]. Urinary retention after surgery regressed, abdominal pain and vomiting resolved. Headache and neurological deficit eventually disappeared. Patient was discharged with a recommendation to radiotherapy.


Unspecific clinical manifestation of cauda equina myxopapillary ependymoma.

Kariev GM, Halikulov ES, Rasulov SO - Asian J Neurosurg (2015 Jul-Sep)

Tumor cells around vessels with mucoid degeneration
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4553748&req=5

Figure 4: Tumor cells around vessels with mucoid degeneration
Mentions: A 9-year-old boy was admitted to the hospital with complaints of headache, weakness in the lower extremities, urinary retention, abdominal pain, vomiting, and loss of weight. The onset of illness was 3 months ago with headache and abdominal pain. Laboratory test data were all within the normal ranges. Examining the status of the abdominal cavity and ultrasound revealed no pathology. However, with the lapse of time, the patient's symptoms continued and the additional neurological deficit appeared. Neurologically observed lower paraparesis muscle strength of 3/3 points, paraparesis of upper extremities 4/4 points, hypesthesia from L1 on conductive type, pain in the legs and nuchal rigidity [Figure 1]. On electromyography, signs of conductive disorders at the level of the thoracic segments of the spinal cord. Visual function without pathology. In a series of magnetic resonance imaging (MRI) images revealed the tumor with solid and cystic components from level T10 to L4 vertebra [Figure 2]. MRI examination of the cervical spine and head did not reveal pathology. A cystic expansion of the central canal revealed at the mild and upper thoracic level of the spinal cord [Figure 3]. The patient underwent decompressive laminectomy where we found tumor and subarachnoid hemorrhage. We have removed the cystic component extracapsular, and part of the solid tumors. Histopathology showed ME [Figure 4]. Urinary retention after surgery regressed, abdominal pain and vomiting resolved. Headache and neurological deficit eventually disappeared. Patient was discharged with a recommendation to radiotherapy.

Bottom Line: Postoperative neurological symptoms regressed; he has received radiotherapy postoperatively.This case illustrates a rare clinical presentation of ME, which simulated intracranial, thoracic, and caudal pathology.We presented features of the clinical presentation, diagnostics, and treatment options of this ependymoma.

View Article: PubMed Central - PubMed

Affiliation: Republican Scientific Center of Neurosurgery, Tashkent Pediatric Medical Institute, Tashkent, Uzbekistan.

ABSTRACT
A 9-year-old boy admitted to the neurosurgical hospital complaining of headache, vomiting, abdominal pain, and weakness in the arms and legs, urinary retention. Previously, the patient had a treatment of pediatricians. He was examined, magnetic resonance imaging revealed the tumor of the conus medullaris and cauda equina. The surgery was performed with removal myxopapillary ependymoma (ME). Postoperative neurological symptoms regressed; he has received radiotherapy postoperatively. This case illustrates a rare clinical presentation of ME, which simulated intracranial, thoracic, and caudal pathology. We presented features of the clinical presentation, diagnostics, and treatment options of this ependymoma.

No MeSH data available.


Related in: MedlinePlus