Gallia Gary L, Burger Peter C, Suk Ian, Bagley Carlos A, Wolinsky Jean-Paul, Garonzik Ira M, Gokaslan Ziya L
Department of Neurosurgery, Johns Hopkins Hospital, Baltimore, Maryland 21287, USA.
Neurosurgery. 2006 Jun;58(6):E1214; discussion E1214. doi: 10.1227/01.NEU.0000215992.26176.94.
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.
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.
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.
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.
圆锥-马尾-终丝区域的室管膜瘤通常为孤立性病变。在本报告中，我们描述了一名患有圆锥室管膜瘤和终丝脂肪瘤患者的临床表现、影像学表现、手术细节及病理特征。
一名40岁女性，出现下背部疼痛加剧及肠道和膀胱功能障碍。磁共振成像显示圆锥处有一局部囊性强化病变，终丝内有一T1加权高信号肿块。
行L2-L3椎板切开术/椎板成形术以大体全切肿块。组织病理学检查显示为圆锥室管膜瘤和终丝脂肪瘤。患者术前症状完全缓解。
脊髓室管膜瘤几乎均为单一病变，与其他病理实体并存的情况罕见。在本报告中，我们描述了一名同时患有圆锥室管膜瘤和终丝脂肪瘤的患者。
