Myxopapillary Ependymomas

Omerhodžić, Ibrahim; Pojskić, Mirza; Arnautović, Kenan I.

doi:10.1007/978-3-319-99438-3_15

Cited by 3 publications

(4 citation statements)

References 69 publications

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“…We have proposed an original 5-type MPE classification based on tumor location and its correlation with the extent of resection 16 (Table 1, Fig. 8).…”

Section: Discussionmentioning

confidence: 99%

“…Nonetheless, one should still remember the possibility of tumor relapse, primary seeding, and drop metastases; one should also consider the entire craniospinal neuroimaging as part of both the preoperative work-up and postoperative follow-up 1 . Therefore, long-term or lifelong MRI surveillance should be advised 1,16 , which is also part of our patient protocol.…”

Section: Discussionmentioning

confidence: 99%

“…Herein, we present a 7-case personal series report and propose an original anatomical and surgical MPE classification grounded on tumor location and its correlation with the extent of resection 16 . We also provide a literature review, discussing surgical technique, tumor recurrence rate and dissemination, and adjuvant treatment.…”

Section: Fig 2 Preoperative Sagittal T2-weighted Spinal Mri Revealimentioning

confidence: 99%

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Myxopapillary Ependymoma of the Spinal Cord in Adults: a Report of Personal Series and Review of Literature

Omerhodžić

Pojskić

Rotim

et al. 2020

ACC

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-Myxopapillary ependymomas (MPE) of the spinal cord are slow-growing benign tumors most frequently found in adults between 30 and 50 years of age. They arise from the ependyma of the filum terminale and are located in the area of the medullary conus and cauda. The recommended treatment option is gross total resection, while patients undergoing subtotal resection usually require radiotherapy. Complete resection without capsular violation can be curative and is often accomplished by simple resection of the filum above and below the tumor mass. Nevertheless, dissemination and distant treatment failure may occur in approximately 30% of the cases. In this paper, we propose an original MPE classification, which is based upon our personal series report concerned with tumor location and its correlation with the extent of resection. We also provide literature review, discussing surgical technique, tumor recurrence rate and dissemination, and adjuvant treatment. In conclusion, our findings suggest that MPE management based on the proposed 5-type tumor classification is favorable when total surgical resection is performed in carefully selected patients. Yet, further studies on a much broader model is obligatory to confirm this.

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“…We have proposed an original 5-type MPE classification based on tumor location and its correlation with the extent of resection 16 (Table 1, Fig. 8).…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Fig 2 Preoperative Sagittal T2-weighted Spinal Mri Revealimentioning

confidence: 99%

See 1 more Smart Citation

Myxopapillary Ependymoma of the Spinal Cord in Adults: a Report of Personal Series and Review of Literature

Omerhodžić

Pojskić

Rotim

et al. 2020

ACC

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“…It is the most common primary neoplasm of the conus medullaris and cauda equina [ 1 , 2 ]. MPE represents approximately 13% of spinal ependymomas and 90% of the conus medullaris tumors [3] . It is usually an intradural extramedullary tumor and almost exclusively presents near the conus medullaris and filum terminale.…”

Section: Introductionmentioning

confidence: 99%

Myxopapillary ependymoma with interval postoperative CSF seeding: A report of an unusual case

Abdu

Alshoabi

Al-Shoaibi

et al. 2021

Radiology Case Reports

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Myxopapillary ependymoma (MPE) is a unique slow-growing benign (WHO grade 1) subtype of spinal cord ependymoma arising predominantly in the filum terminale. Despite its benign nature, it occasionally disseminates through the cerebrospinal fluid and metastasizes to distant sites. Here, we report an extremely rare case of MPE with interval CSF seeding and metachronous metastasis in a 47 –year-old female presented as a gradually increasing low back pain for three months with bilateral radiculopathy down to the knees. Magnetic resonance imaging (MRI) showed an intradural extramedullary spinal mass of iso-intense signal to the cord on T1 weighted-images (WIs), heterogeneous, predominantly hyperintense signal on T2WIs with homogenous enhancement after contrast administration. L2 laminectomy with gross total resection (GTR) was performed, and histopathological results confirmed the diagnosis of MPE. Adjuvant radiotherapy was administered, followed by series of MRI scans. 28 months after GTR, Lumbar MRI showed multiple tiny enhancing nodules in the cauda equina. 44 months follow-up whole spine MRI revealed multiple intradural extramedullary nodules throughout the entire spine. The largest one measures about 1.5cm opposite to T3 –T4 intervertebral disc space. The patient underwent T3 and T4 laminectomy and GTR under general anesthesia using microsurgical techniques, and the histopathological result came with the diagnosis of MPE.

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Ependimoma mixopapilar del filum terminal en un paciente pubescente: un reporte de caso

Muñoz Malca,

Miranda Chigne

2024

Investig Innov Clin Quir Pediatr

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El ependimoma mixopapilar es una neoplasia benigna de crecimiento lento que representa el 13 % de todos los ependimomas espinales. Se presenta clínicamente con síndromes radiculares de larga evolución, y anomalías motoras, sensoriales, urinarias y de la marcha. En este reporte, se describe el caso de una mujer de 14 años de edad, quien presentó un tiempo de enfermedad de seis meses caracterizado por dolor lumbosacro. En el último mes, el dolor irradió a los miembros inferiores. La paciente ingresó al servicio de emergencia del Hospital Belén de Trujillo, Perú, por paraparesia crural, con función motora 3/5 en la Escala de Daniels y retención urinaria. En la resonancia magnética con contraste se observó una lesión compatible con ependimoma a nivel lumbar, por lo que se realizó una laminectomía más resección total de la lesión, a fin de evitar la recurrencia local y la diseminación del líquido cefalorraquídeo. Hasta el último seguimiento postoperatorio, la paciente presentó buena evolución funcional. En el presente caso, se logró la resección completa y en bloque del tumor. Se espera que la experiencia clínica presentada pueda ser replicada en otros casos pediátricos de ependimoma mixopapilar para mejorar la calidad de vida de los pacientes.

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Myxopapillary Ependymomas

Cited by 3 publications

References 69 publications

Myxopapillary Ependymoma of the Spinal Cord in Adults: a Report of Personal Series and Review of Literature

Myxopapillary Ependymoma of the Spinal Cord in Adults: a Report of Personal Series and Review of Literature

Myxopapillary ependymoma with interval postoperative CSF seeding: A report of an unusual case

Ependimoma mixopapilar del filum terminal en un paciente pubescente: un reporte de caso

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