title: Co-existence of L5-S1 disc herniation and conus medullaris ependymoma.
abstract: BACKGROUND
  The lumbar disc herniations are seen very common than spinal ependymomas in the neurosurgery polyclinic routine.
  
  
  METHODS
  In our case, both pathologies were seen at the most frequently located levels compatible with the literature. Aim of this case report is, to remind once more that, different pathologies can be found at the same time in a single patient; differential diagnosis must be done very carefully.
  
  
  CONCLUSIONS
  The routine Computed Tomography (CT) imaging for low back pain can not show the conus medullaris pathology. Spinal tumors or other similar pathologies should be kept in mind for differential diagnosis. A good medical history and a good physical examination must be completed before the final diagnosis.
  
  
  CONCLUSIONS
  Viewing of spinal canal with Magnetic Resonance Imaging (MRI) will be useful for the patients who we intend to do disc surgery.
authors.affiliation: Manisa State Hospital, Department of Neurosurgery, Manisa, Turkey. Electronic address: mminoglu@gmail.com.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Minoğlu
authors.affiliation: Izmir Bozyaka Training and Research Hospital, Department of Neurosurgery, Izmir, Turkey. Electronic address: ismailakkol@Yahoo.Com.
authors.forename: İsmail
authors.initials: İ
authors.lastname: Akkol
authors.affiliation: Tepecik Training and Research Hospital, Department of Neurosurgery, Izmir, Turkey. Electronic address: dr.Nailozdemir@Gmail.Com.
authors.forename: Nail
authors.initials: N
authors.lastname: Özdemir
authors.affiliation: Sivas Numune Hospital, Department of Neurosurgery, Sivas, Turkey. Electronic address: levomisin@Gmail.Com.
authors.forename: Levent
authors.initials: L
authors.lastname: Yıldırım
keywords: Conus medullaris; Ependymoma; Lumbar disc herniation; Magnetic resonance imaging; Spinal tumor