{"id":"ab52171a-66f0-40b9-bf83-ebe922f2b268","slug":"image-report-extensive-disseminated-thoracolumbosacral-myxopapillary-ependymoma","title":"Image report: Extensive disseminated thoracolumbosacral myxopapillary ependymoma","authors":["Jirapong Vongsfak","Chumpon Jetjumnong","James Cullen"],"abstract":"Background: Myxopapillary ependymoma occurs more frequently in adults, but is found in the first two decades of life in around 8–20% of patients. Tumors are usually benign with low likelihood for dissemination. Case Description: We describe a case of a 13-year-old boy who presented with progressive kyphosis and bilateral weakness of the lower limbs. MRI shows a thoracolumbosacral intradural tumor with invasion of sacral neural foramina and dissemination to the cervicothoracic region. The patient received T10-L5 laminectomy with subtotal tumor resection. Pathological examination revealed myxopapillary ependymoma. After surgical resection, the patient underwent physical therapy with whole spinal radiotherapy for disease control. Conclusion: Spinal myxopapillary ependymomas are usually benign and slow-growing tumors. This case illustrates an extensive and disseminated myxopapillary ependymoma.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/ab52171a-66f0-40b9-bf83-ebe922f2b268/featured/hero-1781563145484.png","publishDate":"2020-09-18T00:00:00.000Z","doi":"10.25259/SNI_390_2020","categories":["Neuro-oncology","Image Report"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2020/09/10265/SNI-11-297.pdf"}