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Atypical presentations of conus medullaris and filum terminale myxopapillary ependymomas.
J Clin Neurosci. 2004 Apr; 11(3):268-72.JC

Abstract

Out of 27 cases of spinal ependymomas seen during a 21 year period (1978-1999), we observed three out of 12 myxopapillary tumours of the conus medullaris and filum terminale with atypical presentations. All the three cases presented with subarachnoid haemorrhage and intracranial hypertension. In addition, the second patient developed persistently low CSF sugar, while the third patient developed hydrocephalus, acute autonomic crisis and SIADH. Although subarachnoid haemorrhage (SAH), intracranial hypertension and hydrocephalus were previously scarcely reported in the literature, the low CSF sugar, acute autonomic crisis and SIADH were never reported singly or in combination. Up to our best knowledge, this is the first report that clearly outlines all these atypical manifestations in this particularly interesting neoplasm. Hence, the above challenging clinical presentations should be borne in mind with cryptic presentations of lower spinal cord and filum terminale ependymomas. A proposal of the mechanism of their production is suggested.

Authors+Show Affiliations

Neurology Department, Rashid Hospital, Dubai, United Arab Emirates. mohdsaadah@hotmail.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

14975415

Citation

Sa'adah, Mohammed, et al. "Atypical Presentations of Conus Medullaris and Filum Terminale Myxopapillary Ependymomas." Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia, vol. 11, no. 3, 2004, pp. 268-72.
Sa'adah M, Al Shunnar K, Saadah L, et al. Atypical presentations of conus medullaris and filum terminale myxopapillary ependymomas. J Clin Neurosci. 2004;11(3):268-72.
Sa'adah, M., Al Shunnar, K., Saadah, L., Shogan, A., Inshasi, J., & Afifi, H. (2004). Atypical presentations of conus medullaris and filum terminale myxopapillary ependymomas. Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia, 11(3), 268-72.
Sa'adah M, et al. Atypical Presentations of Conus Medullaris and Filum Terminale Myxopapillary Ependymomas. J Clin Neurosci. 2004;11(3):268-72. PubMed PMID: 14975415.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Atypical presentations of conus medullaris and filum terminale myxopapillary ependymomas. AU - Sa'adah,Mohammed, AU - Al Shunnar,Kassem, AU - Saadah,Loai, AU - Shogan,Ahmed, AU - Inshasi,Jihad, AU - Afifi,Hani, PY - 2002/06/11/received PY - 2002/12/06/accepted PY - 2004/2/21/pubmed PY - 2007/6/7/medline PY - 2004/2/21/entrez SP - 268 EP - 72 JF - Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia JO - J Clin Neurosci VL - 11 IS - 3 N2 - Out of 27 cases of spinal ependymomas seen during a 21 year period (1978-1999), we observed three out of 12 myxopapillary tumours of the conus medullaris and filum terminale with atypical presentations. All the three cases presented with subarachnoid haemorrhage and intracranial hypertension. In addition, the second patient developed persistently low CSF sugar, while the third patient developed hydrocephalus, acute autonomic crisis and SIADH. Although subarachnoid haemorrhage (SAH), intracranial hypertension and hydrocephalus were previously scarcely reported in the literature, the low CSF sugar, acute autonomic crisis and SIADH were never reported singly or in combination. Up to our best knowledge, this is the first report that clearly outlines all these atypical manifestations in this particularly interesting neoplasm. Hence, the above challenging clinical presentations should be borne in mind with cryptic presentations of lower spinal cord and filum terminale ependymomas. A proposal of the mechanism of their production is suggested. SN - 0967-5868 UR - https://www.unboundmedicine.com/medline/citation/14975415/Atypical_presentations_of_conus_medullaris_and_filum_terminale_myxopapillary_ependymomas_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0967586803003448 DB - PRIME DP - Unbound Medicine ER -