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Posttraumatic intratumoural haemorrhage: an unusual presentation of spinal ependymoma

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Abstract

Ependymomas presenting with intratumoural and/or subarachnoid haemorrhages are seen rarely. These haemorrhages are mostly due to anticoagulation, epidural analgesia or pregnancy. A 62-year-old male farmer with cauda equina syndrome after a work-related trauma is presented. He was admitted to our hospital with paraparesis, faecal incontinance and sensory loss below the level of the lumbar-2 dermatome. Magnetic resonance imaging of the spine displayed an intradural mass lesion at the level of the first lumbar vertebrae. The lesion was excised totally via dorsal midline approach. Histopathologic examination revealed grade-3 ependymoma with intratumoural haemorrhage. The patient’s symptoms were relieved completely on postoperative day 7. The patient was given information about periodical examination for recurrence and discharged on the third postoperative week. Asymptomatic spinal lesions should be considered for operation whenever detected because of unpredicted complications.

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Authors and Affiliations

  1. Neurosurgery Department, Baskent University Faculty of Medicine, Ankara, Turkey

    Ozgur Ozdemir, Tarkan Calisaneller, Ilker Coven & Nur Altinors

  2. Baskent Universitesi Hastanesi, Beyin Cerrahisi B-blok zemin kat, Hoca Cihan Mahallesi, Saray caddesi, No: 1 Selcuklu, Konya, 42080, Turkey

    Ozgur Ozdemir

Authors
  1. Ozgur Ozdemir
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  2. Tarkan Calisaneller
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  3. Ilker Coven
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  4. Nur Altinors
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Correspondence to Ozgur Ozdemir.

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Ozdemir, O., Calisaneller, T., Coven, I. et al. Posttraumatic intratumoural haemorrhage: an unusual presentation of spinal ependymoma. Eur Spine J 16 (Suppl 3), 293–295 (2007). https://doi.org/10.1007/s00586-007-0304-3

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  • DOI: https://doi.org/10.1007/s00586-007-0304-3

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