Presentation
A 36-year-old woman presented with headache, multiple cranial nerve palsies, visual hallucinations, confusion, hemiparesis, hemihipoestesia, episodes of disconnection, and toxic syndrome. [ncbi.nlm.nih.gov]
Immune System
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Cervical Lymphadenopathy
Metastatic disease was diagnosed based on clinical presentation of a palpable nodule on the right neck and diffuse cervical lymphadenopathies. A biopsy was obtained and pathology revealed anaplastic ependymoma. [ncbi.nlm.nih.gov]
Entire Body System
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Lymphadenopathy
Metastatic disease was diagnosed based on clinical presentation of a palpable nodule on the right neck and diffuse cervical lymphadenopathies. A biopsy was obtained and pathology revealed anaplastic ependymoma. [ncbi.nlm.nih.gov]
Respiratoric
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Aspiration
We report the case of an ependymoma of the posterior third ventricle that was endoscopically removed just by aspiration through a flexible scope. [ncbi.nlm.nih.gov]
After five cycles of chemotherapy, the patient had progression of disease in form of scalp and cervical lymph node metastasis confirmed by fine needle aspiration cytology, biopsy and immunohistochemistry. [cancerjournal.net]
Skin
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Skin Lesion
He later developed a rapid growth of multiple skin lesions on his back and extremities, which coincided with a regrowth of the tumor. [ncbi.nlm.nih.gov]
Psychiatrical
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Visual Hallucination
A 36-year-old woman presented with headache, multiple cranial nerve palsies, visual hallucinations, confusion, hemiparesis, hemihipoestesia, episodes of disconnection, and toxic syndrome. [ncbi.nlm.nih.gov]
Neurologic
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Nystagmus
Babinski sign Temporary visual loss Weakness of the limbs Uncontrollable twitching Temporary loss of memory Stiffness or pain in the neck Inadequate bladder control Raised intracranial pressure Problems with coordination Development of hydrocephalus Nystagmus [chiarigear.com]
Difficulty in sleeping Bilateral Babinski sign Temporary visual loss Weakness of the limbs Uncontrollable twitching Raised intracranial pressure Development of hydrocephalus Temporary loss of memory Stiffness or pain in the neck Inadequate bladder control Nystagmus [alwaysayurveda.net]
Other specific symptoms of ependymomas include swelling of the nerve at the back of the eye (papilloedema), rapid, jerky eye movements (nystagmus), neck pain and irritability. [melissasfightingfund.co.uk]
[…] deficits Spinal ependymomas: Progressive neurologic deficit Physical findings with intracranial ependymomas may include the following: General or focal neurologic signs reflecting the location of the tumor Infratentorial ependymomas: Papilledema ataxia; nystagmus [emedicine.medscape.com]
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Neuralgia
A 49-year-old woman presented to the emergency room with subacute paraparesis associated with bilateral cervicobrachial neuralgia. [ncbi.nlm.nih.gov]
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Recurrent Headache
In June 1998, the patient had recurrent headache and altered equilibrium and an MRI showed a heterogeneous enhancing lesion at the lateral edge of the pons invading the fourth … View Full Text AAN Members: Sign in with your AAN member credentials (e-mail [neurology.org]
Workup
Diagnostic workup included repeated MRI scans, PET with an (18)F-amino acid and (18)F-fluorodeoxyglucose (FDG), as well as a brain biopsy. [ncbi.nlm.nih.gov]
4th ventricle, symptoms are related to obstruction and subsequently increased intracranial pressure In spinal ependymomas, presentation is typically with sensory deficits (compared with astrocytomas, which tend to present with pain and motor symptoms) Workup [en.wikibooks.org]
Ependymoma 12. 12 MRI • MRI is the diagnostic modality of choice in the workup and follow-up observation of intracranial neoplasms, including ependymoma. • MRI exploits the use of increased water content of many neoplasms. [slideshare.net]
[…] tumors are isointense or slightly hypointense to the surrounding spinal cord on T1-weighted images; most tumors are hyperintense to the spinal cord on T2-weighted images Other diagnostic modalities that may be helpful include the following: EEG See Workup [emedicine.medscape.com]
Treatment
The treatment relies on surgery and radiotherapy. Upon failure of these treatments, chemotherapy has modest effects. [ncbi.nlm.nih.gov]
Prognosis
Treatment and prognosis The treatment and prognosis of ependymomas are not clearly influenced by histological grading 4. Promoted articles (advertising) [radiopaedia.org]
Dissemination of primary intracranial ependymoma occurs in 10% of all cases and is difficult to treat, so this may be one of the major reasons for the poor prognosis. [ncbi.nlm.nih.gov]
Etiology
The etiology of such a co-existence or development of malignancy in a pre-existing RE is yet to be completely understood. [ncbi.nlm.nih.gov]
The third cyst type, dilation of the central canal, is likely reactive in etiology as well, from partial canal obstruction by the tumor. [appliedradiology.com]
What is the etiology, clinic and treatment of this disease? Types and incidence of ependymomas Ependymoma of brain and spinal cord is quite rare. The incidence is 1-2 cases per 1 million people. Children suffer from this disease more adults. [back.vsebolezni.com]
Epidemiology
A retrospective analysis was conducted utilizing the Surveillance, Epidemiology and End Results Program of the United States National Cancer Institute. [ncbi.nlm.nih.gov]
Epidemiology/ Localization Incident data vary considerably due to variations in histological criteria for diagnosis, but anaplastic changes appear to be more common in intrancranial ependymomas, particular those in the posterior fossa. [prod.wiki.cns.org]
Cancer Epidemiology, Biomarkers & Prevention, 17 ( 7 ), 1665 – 1673. Faltas, B. M., Prandi, D., Tagawa, S. T., et al. ( 2016 ). Clonal evolution of chemotherapy-resistant urothelial carcinoma. Nature Genetics, 48 ( 12 ), 1490 – 1499. [cambridge.org]
Currently, the Surveillance Epidemiology and the End Results (SEER) Program and the Central Brain Tumor Registry (CBTRUS) group all grades of ependymomas together for reporting purposes. [cern-foundation.org]
The anatomic distinction between intracranial and spinal locations has an epidemiologic and clinical correlate. [emedicine.medscape.com]
Pathophysiology
Ependymoma: Practice Essentials, Background, Pathophysiology. [online] Available at: [Accessed 30 Aug. 2017]. 6.0 6.1 6.2 6.3 Kilday JP, Rahman R, Dyer S, Ridley L, Lowe J, Coyle B, Grundy R. Pediatric ependymoma: biological perspectives. [physio-pedia.com]
In adults and adolescents, 75% of ependymomas arise within the spinal canal, with a significant minority occurring intracranially in the supratentorial compartment. [12] Pathophysiology Ependymomas are traditionally thought to arise from oncogenetic events [emedicine.medscape.com]
Prevention
Preventive RT after chemotherapy was given in nine, and salvage RT in 12 children. OS and PFS rates after 3-year were 55.9 and 27.3%, respectively. Twenty-five children relapsed. [ncbi.nlm.nih.gov]
Cancer Epidemiology, Biomarkers & Prevention, 17 ( 7 ), 1665 – 1673. Faltas, B. M., Prandi, D., Tagawa, S. T., et al. ( 2016 ). Clonal evolution of chemotherapy-resistant urothelial carcinoma. Nature Genetics, 48 ( 12 ), 1490 – 1499. [cambridge.org]
Gross total excision and postoperative irradiation are not effective in preventing early recurrence in anaplastic ependymomas, and other factors affecting the outcome need to be analyzed. 2007 S. [karger.com]
Clinical trials look at new ways to prevent, find and treat cancer. Find out more about clinical trials . [cancer.ca]