Published online May 26, 2019. doi: 10.12998/wjcc.v7.i10.1142
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
Myxopapillary ependymomas are rare spinal tumours. Although histologically benign, they have a tendency for local recurrence.
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.
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.