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Concomitant conus medullaris ependymoma and filum terminale lipoma: case report.
Neurosurgery. 2006 Jun; 58(6):E1214; discussion E1214.N

Abstract

OBJECTIVE

Ependymomas of the conus medullaris-cauda equina-filum terminale region are typically solitary lesions. In this report, we describe the clinical presentation, radiographic findings, operative details, and pathological features of a patient with a conus medullaris ependymoma and a filum terminale lipoma.

CLINICAL PRESENTATION

A 40-year-old woman presented with increasing low back pain and bowel and bladder dysfunction. Magnetic resonance imaging revealed a partially cystic enhancing lesion at the conus medullaris and a T1-weighted hyperintense mass within the filum terminale.

INTERVENTION

An L2-L3 laminotomy/laminoplasty was performed for gross total resection of the mass. Histopathological examination demonstrated a conus medullaris ependymoma and filum terminale lipoma. The patient experienced complete resolution of her preoperative symptoms.

CONCLUSION

Spinal cord ependymomas are almost exclusively single lesions and their coexistence with other pathological entities is rare. In this report, we describe a patient with a concomitant conus medullaris ependymoma and filum terminale lipoma.

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Authors+Show Affiliations

Gallia GL
Department of Neurosurgery, Johns Hopkins Hospital, Baltimore, Maryland 21287, USA.
Burger PC
No affiliation info available
Suk I
No affiliation info available
Bagley CA
No affiliation info available
Wolinsky JP
No affiliation info available
Garonzik IM
No affiliation info available
Gokaslan ZL
No affiliation info available

MeSH

AdultCauda EquinaEpendymomaFemaleHumansLaminectomyLipomaLumbar VertebraeMagnetic Resonance ImagingNeoplasms, Multiple PrimaryPeripheral Nervous System NeoplasmsSpinal Cord Neoplasms

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

16723873

Citation

Gallia, Gary L., et al. "Concomitant Conus Medullaris Ependymoma and Filum Terminale Lipoma: Case Report." Neurosurgery, vol. 58, no. 6, 2006, pp. E1214; discussion E1214.
Gallia GL, Burger PC, Suk I, et al. Concomitant conus medullaris ependymoma and filum terminale lipoma: case report. Neurosurgery. 2006;58(6):E1214; discussion E1214.
Gallia, G. L., Burger, P. C., Suk, I., Bagley, C. A., Wolinsky, J. P., Garonzik, I. M., & Gokaslan, Z. L. (2006). Concomitant conus medullaris ependymoma and filum terminale lipoma: case report. Neurosurgery, 58(6), E1214; discussion E1214.
Gallia GL, et al. Concomitant Conus Medullaris Ependymoma and Filum Terminale Lipoma: Case Report. Neurosurgery. 2006;58(6):E1214; discussion E1214. PubMed PMID: 16723873.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Concomitant conus medullaris ependymoma and filum terminale lipoma: case report. AU - Gallia,Gary L, AU - Burger,Peter C, AU - Suk,Ian, AU - Bagley,Carlos A, AU - Wolinsky,Jean-Paul, AU - Garonzik,Ira M, AU - Gokaslan,Ziya L, PY - 2006/5/26/pubmed PY - 2006/7/21/medline PY - 2006/5/26/entrez SP - E1214; discussion E1214 JF - Neurosurgery JO - Neurosurgery VL - 58 IS - 6 N2 - OBJECTIVE: Ependymomas of the conus medullaris-cauda equina-filum terminale region are typically solitary lesions. In this report, we describe the clinical presentation, radiographic findings, operative details, and pathological features of a patient with a conus medullaris ependymoma and a filum terminale lipoma. CLINICAL PRESENTATION: A 40-year-old woman presented with increasing low back pain and bowel and bladder dysfunction. Magnetic resonance imaging revealed a partially cystic enhancing lesion at the conus medullaris and a T1-weighted hyperintense mass within the filum terminale. INTERVENTION: An L2-L3 laminotomy/laminoplasty was performed for gross total resection of the mass. Histopathological examination demonstrated a conus medullaris ependymoma and filum terminale lipoma. The patient experienced complete resolution of her preoperative symptoms. CONCLUSION: Spinal cord ependymomas are almost exclusively single lesions and their coexistence with other pathological entities is rare. In this report, we describe a patient with a concomitant conus medullaris ependymoma and filum terminale lipoma. SN - 1524-4040 UR - https://www.unboundmedicine.com/medline/citation/16723873/Concomitant_conus_medullaris_ependymoma_and_filum_terminale_lipoma:_case_report_ L2 - https://academic.oup.com/neurosurgery/article-lookup/doi/10.1227/01.NEU.0000215992.26176.94 DB - PRIME DP - Unbound Medicine ER -