31 January 2024: Articles
Giant Myxopapillary Ependymoma with Multi-Site Neural Axis Metastases: A Rare Case with Suboptimal Outcome
Challenging differential diagnosis, Unusual or unexpected effect of treatment, Diagnostic / therapeutic accidents, Rare disease, Educational Purpose (only if useful for a systematic review or synthesis)
Arturs Balodis A* , Viktorija Ņeverčika B , Marija Zavertjajeva B , Raimonds Mikijanskis B , Marika Kalnina B , Austra Breikša-Vaivode B , Inese Briede BDOI: 10.12659/AJCR.942392
Am J Case Rep 2024; 25:e942392
Figure 1. T2-weighted sagittal and axial MRI of the lumbar spine without intravenous contrast. A giant, intradural, extramedullary, heterogeneous, lobulated, expanding tumor was found in the lumbar spine and sacrum canal. Tumor dimensions were 56.2 mm (AP)×96.5 mm (LL)×19.0 mm (craniocaudal). Starting from the L5-S1 level, there was significant erosion of the sacrum, lateral masses more on the left side, expanding the channel, as well as openings with the spread of the presacral and in the back muscles with the incoming nerve root and plexus displacement.