The Spine Journal 15 (2015) 1907–1908
A huge spinal ependymoma A 40-year-old man was admitted to neurosurgery outpatient clinic with paraplegia. The symptoms started 6 months ago with complaining back, leg, and feet ache and loss of sense.
In neurological examination, the patient was paraplegic, not having any sense in the bilateral legs and feet. Magnetic resonance imaging of the spine showed than an intramedullary mass expanded the spinal cord at the levels of Th4–L2. The mass shows isohypointensity according to medullary tissue on T1-weighted images (WI) (Figure, A),
Figure. An intradural localized, huge, expansive mass at the level between Th4 and L2 vertebra (upper and lower white arrows). The lesion is isohypointense on sagittal T1-weighted images (WI) (A), hyperintense on T2-WI and short tau inversion recovery WI (B and C), and minimal homogeneous contrast enhancement on sagittal T1-WI (D). http://dx.doi.org/10.1016/j.spinee.2015.04.018 1529-9430/Ó 2015 Elsevier Inc. All rights reserved.
1908
Z. Unverdi et al. / The Spine Journal 15 (2015) 1907–1908
slightly hyperintensity on T2-WI and short tau inversion recovery (Figure, B and C), and minimal and homogeneous enhancement on contrast T1-WI (Figure, D). The diagnosis of the mass was ependymoma based on biopsy. The patient refused the surgery. Zeyni Unverdi, MDa Mehmet S. Menzilcioglu, MDb Mahmut Duymus, MDb a Sanlıurfa State Hospital Clinic of Radiology Sanlıurfa Mehmet Akif Inan Education and
Research Hospital Esentepe District, Ertugrul Street Sanlıurfa, Turkey b Department of Radiology School of Medicine Gazi University €universitesi Rekt€orl€ug€u 06500 Teknikokullar Ankara, Turkey FDA device/drug status: Not applicable. Author disclosures: ZU: Nothing to disclose. MSM: Nothing to disclose. MD: Nothing to disclose.
A huge spinal ependymoma A 40-year-old man was admitted to neurosurgery outpatient clinic with paraplegia. The symptoms started 6 months ago with complaining back, leg, and feet ache and loss of sense.
In neurological examination, the patient was paraplegic, not having any sense in the bilateral legs and feet. Magnetic resonance imaging of the spine showed than an intramedullary mass expanded the spinal cord at the levels of Th4–L2. The mass shows isohypointensity according to medullary tissue on T1-weighted images (WI) (Figure, A),
Figure. An intradural localized, huge, expansive mass at the level between Th4 and L2 vertebra (upper and lower white arrows). The lesion is isohypointense on sagittal T1-weighted images (WI) (A), hyperintense on T2-WI and short tau inversion recovery WI (B and C), and minimal homogeneous contrast enhancement on sagittal T1-WI (D). http://dx.doi.org/10.1016/j.spinee.2015.04.018 1529-9430/Ó 2015 Elsevier Inc. All rights reserved.
1908
Z. Unverdi et al. / The Spine Journal 15 (2015) 1907–1908
slightly hyperintensity on T2-WI and short tau inversion recovery (Figure, B and C), and minimal and homogeneous enhancement on contrast T1-WI (Figure, D). The diagnosis of the mass was ependymoma based on biopsy. The patient refused the surgery. Zeyni Unverdi, MDa Mehmet S. Menzilcioglu, MDb Mahmut Duymus, MDb a Sanlıurfa State Hospital Clinic of Radiology Sanlıurfa Mehmet Akif Inan Education and
Research Hospital Esentepe District, Ertugrul Street Sanlıurfa, Turkey b Department of Radiology School of Medicine Gazi University €universitesi Rekt€orl€ug€u 06500 Teknikokullar Ankara, Turkey FDA device/drug status: Not applicable. Author disclosures: ZU: Nothing to disclose. MSM: Nothing to disclose. MD: Nothing to disclose.
