title: Mobile ependymoma diagnosed with cine MRI.
abstract: Migration of neurogenic spinal tumours is uncommon. However, such possible mobility should be kept in mind during surgery for neurogenic tumours whenever the lesion is not found at the anticipated level. Conventional static imaging techniques, such as myelography and MRI, have not documented dynamic motion of tumours. A 12-year-old boy was diagnosed with a neurogenic spinal tumour in the thoracolumbar region. To assess the migratory tendency of the tumour, cine MRI was performed to acquire dynamic images under postural change. Cine MRI showed that the tumour migrated up to the lower part of the T12 vertebra from the upper part of the L1 vertebra during a change in spinal posture from cervical flexion to extension. The tumour was completely removed and histological examination revealed the tumour to be an ependymoma. Cine MRI is useful for dynamically and non-invasively assessing the migratory tendency of spinal tumours.
authors.affiliation: Department of Orthopedic Surgery, Seirei Sakura Citizen Hospital, Sakura-shi, Japan.
authors.forename: Toshiaki
authors.initials: T
authors.lastname: Kotani
authors.forename: Akihiko
authors.initials: A
authors.lastname: Okawa
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Akazawa
authors.forename: Tsuyoshi
authors.initials: T
authors.lastname: Sakuma
mesh_terms: D002648:Child; D004806:Ependymoma / Q000175:diagnosis*; D006801:Humans; D019028:Magnetic Resonance Imaging, Cine; D008297:Male; D011187:Posture; D013120:Spinal Cord Neoplasms / Q000175:diagnosis*