Al-Banna Mohammed, Abughazal Mahmoud, Aljanabi Mustafa, Hassan Mohamed, Abouelkheir Moustafa
Emergency Medicine, United Lincolnshire Hospitals NHS Trust, Boston, GBR.
Cureus. 2024 Sep 2;16(9):e68490. doi: 10.7759/cureus.68490. eCollection 2024 Sep.
Myxopapillary ependymoma (MPE) is a rare, slow-growing tumor that commonly arises in the lumbosacral region of the spinal cord, within the filum terminale and cauda equina. The frequent presentation of MPE is back, sacral, or leg pain. The tumor's size, site, and extension usually influence these symptoms. MPE is usually evaluated using magnetic resonance imaging (MRI) because of its superior soft tissue contrast. The best treatment modality is total surgical resection, which improves the long-term survival rate, with follow-up imaging recommended to ensure total resolution. Here, we present the case of a 29-year-old male who presented with symptoms suggestive of severe neurological impairment. An MRI scan revealed an intradural lesion arising from the cauda equina with peripheral and intrathecal haemorrhage, consistent with MPE. He was managed with laminectomy and microsurgical resection of the tumor, which achieved total resection. Postoperative follow-up found gradual improvement in his symptoms, and routine surveillance imaging confirmed the complete resolution of the tumor.
黏液乳头型室管膜瘤（MPE）是一种罕见的、生长缓慢的肿瘤，通常发生于脊髓腰骶段，终丝和马尾内。MPE的常见表现为背部、骶部或腿部疼痛。肿瘤的大小、位置和范围通常会影响这些症状。由于其软组织对比度优越，MPE通常采用磁共振成像（MRI）进行评估。最佳治疗方式是手术全切，这可提高长期生存率，建议进行随访成像以确保完全切除。在此，我们报告一例29岁男性病例，该患者出现提示严重神经功能障碍的症状。MRI扫描显示一个起源于马尾的硬膜内病变，伴有周围和鞘内出血，符合MPE。他接受了椎板切除术和肿瘤显微手术切除，实现了全切。术后随访发现其症状逐渐改善，常规监测成像证实肿瘤完全消退。
