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Giant intradural myxopapillary ependymoma: review of literature
  1. Orlando De Jesus
  1. Neurosurgery, University of Puerto Rico Medical Sciences Campus, San Juan, Puerto Rico
  1. Correspondence to Dr Orlando De Jesus; drodejesus{at}


This report presents the longest spanning intradural myxopapillary ependymoma consisting of 23 vertebral segments in the literature. An 11-year-old boy presented with right arm pain, mid back pain and progressive paraparesis associated with urinary retention. On MRI, the patient was found to have an intradural lesion extending from C5 to S3. The patient underwent T7 and T8 laminectomies with an almost total resection except for a minimal residual adhering to the spinal cord. The patient with the largest spanning spinal cord ependymoma was managed satisfactorily without significant morbidity. A small laminectomy may be used in some occasions despite the tumour’s extensive size because it may have a single point of attachment to the cord.

  • neurooncology
  • spinal cord
  • paediatric oncology
  • pathology
  • neurosurgery

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  • Contributors ODJ is the sole author of the manuscript.The idea, operation, conception, planning, design, interpretation of data, case analysis, preparation and review of the manuscript was done by ODJ.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer-reviewed.