Intracranial retrograde dissemination in filum terminale myxopapillary ependymomas.

Plans, G; Brell, M; Cabiol, J; Villà, S; Torres, A; Acebes, J J · Acta Neurochir (Wien) · 2006

case_report · Level V

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Abstract

Myxopapillary ependymomas (ME) are considered benign tumours (WHO grade I) of the central nervous system with long term survival rates and a tendency to local recurrence. However an aggressive course has occasionally been described, leading to CSF dissemination and even systemic metastases. We describe the case of a 23-year-old man diagnosed with intracranial subarachnoid dissemination of a filum terminale ME three years after the initial diagnosis. We have performed a careful review of the literature on CSF dissemination in ME and finally propose treatment of these cases.

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