Concomitant conus medullaris ependymoma and filum terminale lipoma: case report.

Published

Journal Article

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.

Full Text

Cited Authors

  • Gallia, GL; Burger, PC; Suk, I; Bagley, CA; Wolinsky, J-P; Garonzik, IM; Gokaslan, ZL

Published Date

  • June 2006

Published In

Volume / Issue

  • 58 / 6

Start / End Page

  • E1214 - E1214

PubMed ID

  • 16723873

Pubmed Central ID

  • 16723873

Electronic International Standard Serial Number (EISSN)

  • 1524-4040

International Standard Serial Number (ISSN)

  • 0148-396X

Digital Object Identifier (DOI)

  • 10.1227/01.neu.0000215992.26176.94

Language

  • eng