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54-year-old female with a history of back pain has new complaints of burning and numbness over abdomen and R leg. She reports stumbling, difficulty with balance and urinary urgency.
MRI spine: intramedullary thoracic spinal cord lesion extends from T6-T11.
Thoracic spine CT: Previously seen cord edema has resolved.
Hyperechogenic lesion seen centered in T6 area, epicenter of tumor was identified by ultrasound. The spinal cord was incised with a microknife and a gross total resection of the tumor was achieved.
Intramedullary spinal cord tumor excision – Grade 2 of 4 ependymoma.
Surgery: Bilateral T5-T12 laminectomies/partial facetomies and removal of spinal cord tumor.
Radiation: Radiation oncology consult: Surgical excision appears complete. Radiation therapy is not recommended at this time. Follow-up with brain/spine MRI in 6 months.