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CASE REPORT
Year : 2020  |  Volume : 15  |  Issue : 1  |  Page : 190-193

Cervicomedullary ependymoma with hemorrhage: A case report and review of literature


1 Department of Neurosurgery, Government Medical College, Trivandrum, Kerala, India
2 Department of Neurosurgery, Nishinomiya Watanabe Cardiovascular Center, Nishinomiya City, Hyuogo, Japan
3 Department of Neurosurgery, Bantane Hospital, Fujita Health University, Nagoya, Aichi, Japan

Correspondence Address:
Dr. Raja K Kutty
Department of Neurosurgery, Government Medical College, Trivandrum - 695 011, Kerala
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ajns.AJNS_233_19

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Ependymoma is a rare tumor central nervous system that arises from the ependymal lining of the ventricles or the central canal of the spinal cord. They are of neuroectodermal in origin and constitute about 30%–86% of tumors arising in the spinal cord. The occurrence of these tumors in the cervicomedullary region is very rare. Sudden symptomatic neurologic presentations due to hemorrhage in cervicomedullary ependymoma is very rare and so far have never been reported. Mostly presenting as neurologic deficits involving limbs, these tumors pose a technical challenge in their removal. We present a patient who presented with sudden-onset dysesthesia of the upper and lower limbs. On imaging, he was found to have a cystic medullary tumor extending to the cervical region with hemorrhage. We discuss the epidemiology, surgical challenges, and outcome along with review of literature of these rare tumors located in this precarious location.


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