BULBO-MEDULLARY EPENDYMOMA IN AN ADULT: CASE REPORT

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.