A 60-year-old woman presented with a 5-month history of paraesthesias on both feet, progressively extending upwards, bilateral leg weakness and hypoestesia. Neurological status progressively worsened, leading to paraparesis. In the last 2 weeks, she started complaining of urinary frequency and constipation. On neurological examination, the patient had diffuse lower-extremities weakness (left leg 1–2/5, right leg 3–4/5), was not able to maintain a straight posture, had a T9 sensory level and had symmetrical hyper-reflexia at the knees and ankles with left clonus; both great-toes were upgoing.
De Bonis, P., Montano, N., Cioni, B., Colosimo, C., Lauriola, L., Papacci, F., Meglio, M., Primary extramedullary extradural ependymoma of the thoracic spine mimicking a schwannoma, <<JOURNAL OF NEUROLOGY, NEUROSURGERY AND PSYCHIATRY>>, 2009; 80 (5): 579-581. [doi:10.1136/jnnp.2008.151373] [http://hdl.handle.net/10807/33789]
Primary extramedullary extradural ependymoma of the thoracic spine mimicking a schwannoma
De Bonis, Pasquale;Montano, Nicola;Cioni, Beatrice;Colosimo, Cesare;Lauriola, Libero;Papacci, Fabio;Meglio, Mario
2009
Abstract
A 60-year-old woman presented with a 5-month history of paraesthesias on both feet, progressively extending upwards, bilateral leg weakness and hypoestesia. Neurological status progressively worsened, leading to paraparesis. In the last 2 weeks, she started complaining of urinary frequency and constipation. On neurological examination, the patient had diffuse lower-extremities weakness (left leg 1–2/5, right leg 3–4/5), was not able to maintain a straight posture, had a T9 sensory level and had symmetrical hyper-reflexia at the knees and ankles with left clonus; both great-toes were upgoing.
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