title: Infantile holocord cellular ependymoma with communicating hydrocephalus: unusual presentation of a rare case.
abstract: We present a case of infantile holocord ependymoma in a 4-month-old boy who presented with infection of ventriculoperitoneal shunt done elsewhere for a communicating hydrocephalus. On magnetic resonance imaging, a diffuse holocord T2-hyperintense, T1-hypointense intramedullary bulky lesion with syringomyelia in the cervical level was seen. To the best of our knowledge, this is the first case of infantile holocord ependymoma. As the extent of morbidity associated with a spinal cord tumor is high, an increased level of suspicion and the need for a complete spinal cord screening in a case of infantile hydrocephalus without obvious clinical and radiological evidence of intracranial abnormality is emphasized.
authors.affiliation: Department of Pathology and Transfusion Medicine, Sri Sathya Sai Institute of Higher Medical Sciences (SSSIHMS), EPIP Area, Whitefield, Bangalore, 560066, India.
authors.forename: Saritha
authors.initials: S
authors.lastname: Aryan
authors.forename: Nandita
authors.initials: N
authors.lastname: Ghosal
authors.forename: Zarina A
authors.initials: ZA
authors.lastname: Aziz
authors.forename: A S
authors.initials: AS
authors.lastname: Hegde
authors.forename: Ravi
authors.initials: R
authors.lastname: Dadlani
mesh_terms: D004806:Ependymoma / Q000150:complications* / Q000175:diagnosis / Q000473:pathology; D017809:Fatal Outcome; D006801:Humans; D006849:Hydrocephalus / Q000209:etiology* / Q000628:therapy; D007223:Infant; D008279:Magnetic Resonance Imaging; D008297:Male; D013120:Spinal Cord Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000473:pathology; D013595:Syringomyelia / Q000175:diagnosis / Q000209:etiology / Q000473:pathology; D017287:Ventriculoperitoneal Shunt / Q000009:adverse effects