Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Co-existence of Lipoma and Myxopapillary Ependymoma in a Filum Terminale Tumor

  • Choi, Seung-Hyon (Department of Neurosurgery, Ewha Womans University College of Medicine) ;
  • Kim, Sang-Jin (Department of Neurosurgery, Ewha Womans University College of Medicine) ;
  • Park, Sang-Hoon (Department of Neurosurgery, Ewha Womans University College of Medicine) ;
  • Cho, Yong-Jae (Department of Neurosurgery, Ewha Womans University College of Medicine)
  • Published : 2006.05.30
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Abstract

A 65-year-old woman presented with a history of severe lower back pain on forward-flexion for 2 months duration. Magnetic resonance Imaging revealed a high signal mass with a tail on T1-weighted images at the L3 level. A total surgical resection was performed via a posterior approach with the aid of a microscope. Histopathological examination of the tumor revealed two pathological components : lipoma and myxopapillary ependymoma. The presence of dual histological components in one spinal cord tumor is rare. There are no prior reports of both types of cells [adipose and ependymal] grown simultaneously in a single tumor of the filum terminale in the medical literature. We report a unique case of the co-existence of lipoma and myxopapillary ependymoma within the same tumor located at the filum terminale and review related literature.

Keywords

References

  1. Alvord EC Jr, Shaw CM, Sumi SM : Central nervous system developmental abnormalities in Thompson RA, Green JR(eds) : Pediatric Neurology and Neurosurgery, Orrville, OH : Spectrum Publications, 1978, pp97-166
  2. Angiari P, Corradini L, Falasca A, Crisi G, Botticelli AR, Merli GA : Associated spinal meningioma and neurinoma. A case report. Acta Neurol 9 : 218-223, 1987
  3. Bruce DA, Schut L : Spinal lipomas in infancy and childhood. Childs Brain 5 : 192-203, 1979
  4. Bunick EM, Mills LC, Rose LI : Association of acromegaly and meningiomas. JAMA 15 : 1267-1268, 1978
  5. Cannavo S, Curto L, Fazio R, Paterniti S, Blandino A, Marafioti T, et al : Coexistence of growth hormone-secreting pituitary adenoma and intracranial meningioma : a case report and review of the literature. J Endocrinol Invest 16 : 703-708, 1993 https://doi.org/10.1007/BF03348915
  6. Cooper PR : Outcome after operative treatment of intramedullary spinal cord tumors in adults : intermediate and long-term results in 51 patients. Neurosurgery 25 : 855-859, 1989 https://doi.org/10.1227/00006123-198912000-00001
  7. Dorizzi A, Crivelli G, Marra A, Scamoni C, Dario A, Bonfanti N, et al : Associated cervical schwannoma and dorsal meningioma. Case report and review of the literature. J Neurosurg Sci 36 : 173-176, 1992
  8. Elizabeth J, Menon G, Nair S, Radhakrishnan VV : Mixed tumour of schwannoma and meningioma in a patient with neurofibromatosis-2 : a case report. Neurol India 49 : 398-400, 2001
  9. Guidetti B, Mercuri S, Vagnozzi R : Long-term results of the surgical treatment of 129 intramedullary spinal gliomas. J Neurosurg 54 : 323-330, 1981 https://doi.org/10.3171/jns.1981.54.3.0323
  10. Hanbali F, Fourney DR, Marmor E, Suki D, Rhines LD, Weinburg JS, et al : Spinal cord ependymoma : radical surgical resection and outcome. Neurosurgery 51 : 1162-1174, 2002 https://doi.org/10.1097/00006123-200211000-00010
  11. Honda E, Hayashi T, Goto S, Oshima Y, Kikuchi N, Utsunomiya H, et al : Two different spinal tumors(meningioma and schwannoma) with von Recklinghausen's disease in a case. No Shinkei Geka 18 : 463-468, 1990
  12. Kanev PM, Lemire RJ, Loeser JD, Berger MS : Management and longterm follow-up review of children with lipomyelomeningocele, 1952-1987. J Neurosurg 73 : 48-52, 1990
  13. Lee TH, Cho YJ, Cho YE, Jung HJ : Co-Existence of dual spinal cord tumor : Schwannoma and Meningioma. J Korean Neurosurg Soc 33 : 425-427, 2003
  14. Lemire RJ, Beckwith JB : Pathogenesis of congenital tumors and malformations of the sacrococcygeal region. Teratology 25 : 201-213, 1982 https://doi.org/10.1002/tera.1420250209
  15. Lemire RJ, Loeser JD, Leech RW, Alvord EC : Normal and Abnormal Development of the Human Nervous System. Hagarstown, MD : Harper and Row, 1975, pp421
  16. Mathuriya SN, Vasishta RK, Dash RJ, Kak VK : Pituitary adenoma and parasagittal meningioma : an unusual association. Neurol India 48 : 72-74, 2000
  17. Nishiura I, Koyama T, Tanaka K, Aii H, Amano S : The occurrence of different types of spinal tumours in one patient. A case report and review of the literature. Neurochirurgia 32 : 52-55, 1989
  18. Santoro A, Minniti G, Paolini S, Passacantilli E, Missori P, Frati A, et al : Atypical tentorial meningioma 30 years after radiotherapy for a pituitary adenoma. Neurol Sci 22 : 463-467, 2002 https://doi.org/10.1007/s100720200007
  19. Schut L, Bruce DA, Sutton LN : The management of the child with a lipomyelomeningocele. Clin Neurosurg 30 : 446-476, 1983
  20. Sharma MC, Vaish S, Arora R, Gaikwad S, Sarkar C : Composite pituitary adenoma and intrasellar tuberculoma : report of a rare case. Pathol Oncol Res 7 : 74-76, 2001 https://doi.org/10.1007/BF03032611
  21. Surawicz TS, Davis F, Freels S, Laws ER Jr, Menck HR : Brain tumor survival : results from the National Cancer Data Base J Neurooncol 40 : 151-160, 1998 https://doi.org/10.1023/A:1006091608586
  22. Tripathi RP, Gupta A, Gupta S, Kumaran SS, Khushu S, Dev A, et al : Co-existence of dual intracranial pathology clinical relevance of proton MRS. Neurol India 48 : 365-369, 2000
  23. Walsh JW, Markesbery WR : Histological features of congenital lipomas of the lower spinal canal. J Neurosurg 52 : 564-569, 1980 https://doi.org/10.3171/jns.1980.52.4.0564