Spinal Myxopapillary Ependymoma: Case Report of a Rare Tumor and a Brief Review of the Literature

Abstract

Spinal myxopapillary ependymoma (MPE) is a rare tumor with a tendency for local recurrence. There is limited research available on spinal MPEs. These tumors, which arise from intradural or extramedullary locations, are uncommon. For effective clinical management, healthcare providers must be well-versed in the diverse clinical, radiographic, and pathological features of intraspinal MPE. A 47-year-old man, previously untreated for sacral numbness and anal retention, reported a two-month history of slow gait and movement-induced burning pain. Standard MRI and CT scans revealed signals of an extrinsic intramedullary lower thoracic filum terminale lesion. Following tumor removal, the final diagnosis was confirmed as MPE, WHO grade-2. Implementing a multidisciplinary approach to treating intraspinal tumors, including comprehensive diagnostic and therapeutic strategies, can improve patient care. Moreover, due to the rarity of spinal tumors and the subsequent risk of complex or inaccurate diagnoses, a thorough understanding of this condition is vital. We present this case and review the pertinent literature on this tumor