What is this long segment spinal lesion?

18 years old boy presented with LMN type of paraparesis with bladder and bowel involvement.

Replies to This Discussion

Permalink Reply by Abdulrahman J Sabbagh on January 7, 2010 at 8:34am

Thanks for sharing thios case with us.
The signal is as white as fat, such as a lypoma, on T2. But the images are a bit out of focus
Would you kindly tell us how it looked on t1 and contrast? and if you had more focussed images.
Interesting case

Permalink Reply by reza bavarsad shahripour on January 7, 2010 at 4:50pm

hello
I think this signal change is lipoma but if we could see other sequances such as T2 or T1 with contrast we will have better D.DX

Permalink Reply by Karam Chand Sharma on January 10, 2010 at 11:41pm

Well thanks for your diagnosis. It was a case of ependymoma. If you look carefully bottom part of tumour is solid. He later had metastasis to brain and was given radiotherapy to cranium and spine.