Intradural Extra Medullary Cervical Anaplastic Ependymoma. Case Report and Review of the Literature

• 作者: Abd el Kader Moumouni Abderrahman Hamlat Anabi Daouda Diakhate Dabou Abiba Tamoutabe Daniel Memia Zolo
• 来源期刊: 现代神经外科学进展(英文)
• 学科: 医学
• 关键词: INTRADURAL EXTRAMEDULLARY Anaplasic EPENDYMOMA Surgery RADIOTHERAPY
• 年，卷（期）: 2018,（4）
• 页码范围: 414-423
• 页数: 10页
• 分类号: R73

摘要

Introduction: Intra-dural and extramedullary ependymomas are rare lesions. We report a clinical case confirmed by the histology supported by the neurosurgery department of Martinique University Hospital. Clinical, paraclinical and therapeutic data will be compared to a literature review. Observation: A 38-year-old patient was admitted for tetraparesthesia evolving since 3 months, associated with a left hemiparesis. The clinical examination revealed deterioration of the general condition and a tetrapyramidal syndrome. MRI of the cervical spine revealed extensive cervical extra-medullary intradural lesion of C3 to C5. The treatment had been an excisional surgery that had been subtotal in two stages, supplemented by craniospinal radiotherapy because the pathological examination had found a grade III anaplasic ependymoma. Conclusion: Because of their rarity, the treatment of these forms of ependymoma is not yet well codified.