BULBO-MEDULLARY EPENDYMOMA IN AN ADULT: CASE REPORT
Creators
- 1. RadiationOncology. Department,MohamedVICenterforCancerTreatment,UHCIbnRochd,FacultyofMedicineandPharmacy,HassanIIUniversity,Casablanca, Morocco.
- 2. LaboratoryofAnatomopathology,UHCIbnRochd,FacultyofMedicineandPharmacy,HassanIIUniversity,Casablanca, Morocco.
- 3. NeurosurgeryDepartment,UHC IbnRochd,FacultyofMedicineandPharmacy,Casablanca,Morocco.
Description
Spinal ependymoma, the most common intramedullary tumour in adults, is generally located intradurally and intramedullarily. The presence of this tumor in the bulbo-medullary region is rarely documented in the medical literature.We present the case of a 33-year-old man with persistent torticollis and severe neck pain. Spinal cord magnetic resonance imaging revealed a lesion in the bulbo-medullary region. Subtotal resection of this lesion was performed, and anatomopathological and immunohistochemical analysis confirmed the diagnosis of ependymoma. Following surgery, the patient underwent post-operative radiotherapy.The standard therapeutic management of ependymoma is total tumor resection. However, the role of post-operative radiotherapy remains to be determined, although it is recommended in cases of subtotal resection.
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