DOI: https://doi.org/10.36347/sasjs.2026.v12i02.002

Pages: 132-136

Myxopapillary Ependymomas are slow growing tumors of the cauda equina with a high incidence in young adult. We report the case of a 35-year-old male, who consulted our emergency for a difficulty swallowing food. Upon further investigation, the patient complained of a gradually worsening heaviness of the lower left limb which has since spread to all the other limbs, making it difficult to walk. In addition, the patient had reported notions of drip urination and chronic constipation. Physical examination revealed numbness of the 4 limbs with normal and symmetrical reflexes, as well as thermoalgesia and hypoesthesia on the left of the abdomen. During cranial nerve examination, a vertigo and dysphagia were noted. A T1-Weighted MRI showed a hyposignal intradural tumor from L2 to L4 with a strong enhancement after gadolinium injection. A T2-Weighted MRI showed a hypersignal tumor. Additionally, there was a syringomyelic cavity clearly visible which extended from the medulla oblongata to the conus medullaris. An L2 L3 laminectomy was performed on the patient with a gross total resection of the tumor that was attached to the cauda equina roots. Upon good clinical recovery, the patient was discharged after satisfactory clinical recovery. An MRI performed 6 months later showed a total resection of the tumor. Ependymoma of the filum terminale associated with holocord syringomyelia are a very rare entity with a still uncertain pathogenesis.