title: Cervical ependymoma presenting with brainstem and cerebellar signs: case report.
abstract: This case report demonstrates cervical spinal cord pathology which presented with brainstem and cerebellar signs consequent to the peritumoural oedema that extended rostrally to the pontomedullary junction. A Medline search of the literature back to 1960 failed to produce any previous report of a cervical ependymoma presenting with brainstem and cerebellar signs purely consequent to oedema. This case highlights the need to look further afield when presented with the scenario of clinical features of a brainstem lesion with only oedema apparent on cranial imaging. It indicates the need to include cervical imaging well below the foramen magnum in these circumstances.
authors.affiliation: Department of Neurology, Liverpool Hospital, Sydney, Australia
authors.forename: Domit A
authors.initials: DA
authors.lastname: Azar
authors.forename: Roy G
authors.initials: RG
authors.lastname: Beran
authors.forename: Toos
authors.initials: T
authors.lastname: Sachinwalla
mesh_terms: D001933:Brain Stem / Q000503:physiopathology*; D002531:Cerebellum / Q000503:physiopathology*; D002574:Cervical Vertebrae / Q000473:pathology; D004487:Edema / Q000473:pathology; D004806:Ependymoma / Q000473:pathology* / Q000601:surgery*; D020235:Gait Apraxia / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010292:Paresthesia / Q000209:etiology*; D013120:Spinal Cord Neoplasms / Q000473:pathology* / Q000601:surgery*; D016896:Treatment Outcome