title: [Ependymoma of the thoracic spine. Cervico-brachialgia as the first symptom--a case report].
abstract: Most frequently the ependymomas of the central nervous system affect the Conus medullaris and Filum terminale. Ependymomas of the thoracic spine with association of a tumor-caused syringomyelia are extremely rare. The reported 50 years old patient with a thoracic ependymoma realized first symptoms as a shoulder-arm pain caused by the tumor-syrinx. The case report indicates that MRI is the superior imaging modality for primary tumors of the central nervous system. All relevant diagnostic and therapeutic informations derived from the MRI. The article describes the clinical manifestations, the diagnostic way and therapeutic procedure in the problem region thoracic spine.
authors.affiliation: Neurochirurgische Klinik und Poliklinik, Technischen Universität München.
authors.forename: R
authors.initials: R
authors.lastname: Kestlmeier
authors.forename: I
authors.initials: I
authors.lastname: Becker
authors.forename: A E
authors.initials: AE
authors.lastname: Trappe
mesh_terms: D003937:Diagnosis, Differential; D003952:Diagnostic Imaging; D004806:Ependymoma / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D019547:Neck Pain / Q000209:etiology*; D020069:Shoulder Pain / Q000209:etiology*; D013116:Spinal Cord / Q000473:pathology / Q000601:surgery; D013125:Spinal Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D013595:Syringomyelia / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D013904:Thoracic Vertebrae / Q000473:pathology / Q000601:surgery