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Myxopapillary Ependymoma

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This is our third example of ependymoma.

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This is what is known as a myxopapillary ependymoma.

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The difference between the myxopapillary ependymoma

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and the other cord ependymomas

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is its predilection for the filum.

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The myxopapillary ependymoma is considered an

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intradural extramedullary lesion, even though

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it is involving the filum,

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which is the extension of the spinal cord.

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So the spinal cord, as you can see,

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is ending at the appropriate L1 level,

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and we see this lesion which expands from that

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termination, which is the filum.

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So this is a myxopapillary ependymoma.

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It's an ependymoma that typically occurs in an

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older age group than the more stereotypical cord

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ependymomas, and it may be associated with calcification,

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as well as hemorrhage,

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but it occurs in the lumbosacral region.

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The myxopapillary ependymoma has variable

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contrast enhancement and is usually,

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as one would expect, affecting the lower

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extremities, as well as bowel and bladder continents.

Report

Description

Faculty

David M Yousem, MD, MBA

Professor of Radiology, Vice Chairman and Associate Dean

Johns Hopkins University

Tags

Spine

Neuroradiology

Neoplastic

Musculoskeletal (MSK)

MRI

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