Strojnik T, Bujas T, Velnar T. Invasive myxopapillary ependymoma of the lumbar spine: A case report. World J Clin Cases 2019; 7(10): 1142-1148 [PMID: 31183345 DOI: 10.12998/wjcc.v7.i10.1142]
Corresponding Author of This Article
Tomaz Velnar, MD, PhD, Assistant Professor, Doctor, Department of Neurosurgery, University Medical Centre Ljubljana, Zaloska 7, Ljubljana 1000, Slovenia. tvelnar@hotmail.com
Research Domain of This Article
Clinical Neurology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. May 26, 2019; 7(10): 1142-1148 Published online May 26, 2019. doi: 10.12998/wjcc.v7.i10.1142
Invasive myxopapillary ependymoma of the lumbar spine: A case report
Tadej Strojnik, Tatjana Bujas, Tomaz Velnar
Tadej Strojnik, Department of Neurosurgery, University Medical Centre Maribor, Maribor 2000, Slovenia
Tadej Strojnik, Faculty of Medicine, University of Maribor, Maribor 2000, Slovenia
Tatjana Bujas, Department of Pathology, University Medical Centre Maribor, Maribor 2000, Slovenia
Tomaz Velnar, Department of Neurosurgery, University Medical Centre Ljubljana, Ljubljana 1000, Slovenia
Author contributions: Strojnik T, Bujas T and Velnar T contributed equally to this work; Strojnik T designed the research; Bujas T and Velnar T performed the research; Bujas T and Velnar T analysed the data; and Strojnik T, Bujas T and Velnar T wrote the paper. No supportive foundations.
Conflict-of-interest statement: The authors declare that they have no competing interests.
CARE Checklist (2016) statement: The guidelines of the “CARE Checklist - 2016: Information for writing a case report has been adopted.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Tomaz Velnar, MD, PhD, Assistant Professor, Doctor, Department of Neurosurgery, University Medical Centre Ljubljana, Zaloska 7, Ljubljana 1000, Slovenia. tvelnar@hotmail.com
Telephone: +00-386-15223250
Received: December 29, 2018 Peer-review started: December 29, 2018 First decision: March 10, 2019 Revised: April 23, 2019 Accepted: May 2, 2019 Article in press: May 2, 2019 Published online: May 26, 2019 Processing time: 148 Days and 14.1 Hours
Abstract
BACKGROUND
Myxopapillary ependymomas are rare spinal tumours. Although histologically benign, they have a tendency for local recurrence.
CASE SUMMARY
We describe a patient suffering from extra- and intradural myxopapillary ependymoma with perisacral spreading. He was treated with subtotal resection and postoperative radiation therapy. After treatment, he experienced slight sphincter disorders and lumboischialgic pain with no motor or sensory disturbances. Eight months later, a tumour regression was documented. The patient is still followed-up regularly.
CONCLUSION
Lumbar myxopapillary ependymomas may present with lumbar or radicular pain, similar to more trivial lesions. Magnetic resonance imaging (MRI) is the primary modality for diagnosis. The treatment aim is to minimize both tumour and therapy-related morbidity and to involve different treatment modalities.
Core tip: Myxopapillary ependymomas are rare spinal tumours. They may present with spinal or radicular pain, similar to more trivial lesions. The treatment aim is to minimize both tumour and therapy-related morbidity. We present a patient with extra- and intradural mixopapillary ependymoma with perisacral spreading.
