Conus ependymoma with holocord syringohydromyelia and syringobulbia.
We report a 24-year-old woman with an intramedullary conus ependymoma associated with holocord syringohydromyelia and syringobulbia. The tumor was removed and surgery for decompression of the syringohydromyelia was not considered at the first operation. In the follow-up examinations, MRI showed significant and steady improvement of syringohydromyelia. Symptoms associated with syringohydromyelia also disappeared. The cause of syringohydromyelia accompanying intradural spinal cord tumors appears to be either direct blockade of the central canal or secondary interruption of the central canal flow by compression of the perimedullary cerebrospinal fluid flow. As removal of the mass often corrects both these likely causes of the syringohydromyelia, no additional treatment for the drainage of the hydromyelia cavity syrinx is usually necessary.
Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Zonguldak Karaelmas University Tip Fakültesi, Fiziksel Tip ve Rehabilitasyon Anabilim Dali, Zonguldak, and Neurosurgery Clinics, MESA Hospital, Ankara, Turkey. seldaki@hotmail.com
Selda
S
Sarikaya
Bektas
B
Acikgöz
Ismail Hakki
IH
Tekkök
Y Yücel
YY
Güngen
D000328:Adult; D020295:Brain Stem Neoplasms / Q000150:complications* / Q000473:pathology; D019299:Decompression, Surgical / Q000379:methods; D004806:Ependymoma / Q000150:complications* / Q000473:pathology; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D013125:Spinal Neoplasms / Q000150:complications* / Q000473:pathology; D013595:Syringomyelia / Q000150:complications* / Q000473:pathology