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Journal of Case Reports
Myxopapillary Ependymoma with Drop Metastasis in a Young Child
Athisayaraj Patrick Joshua, Murugaiyan Nagarajan,  Ramesh Banu 
Valavadi Narayanasamy Cancer Centre, G. Kuppuswamy Naidu Memorial Hospital, Coimbatore 641037, Tamil Nadu, India.
Corresponding Author:
Dr.  Murugaiyan Nagarajan  
Email: mnr81@yahoo.com
Received: 18-NOIV-2017 Accepted: 04-APR-2018 Published Online: 05-MAY-2018
DOI: http://dx.doi.org/10.17659/01.2018.0030
Background: Myxopapillary ependymoma (MPE) is a rare variant of ependymoma. It has an indolent course in adults but in children it is aggressive. Because of its rarity there are no guidelines for management of metastatic MPE. Hence we report this case of MPE with drop metastasis treated with cranio-spinal irradiation (CSI) after sub-total resection (STR). Case Report: A 9 year old girl was evaluated elsewhere for low backache. MRI whole spine showed intra-dural mass compressing the conus and another lesion in the sacral spinal canal. She underwent STR. Post-operative histopathological examination was consistent with myxopapillary ependymoma. She was treated with CSI. Conclusion: Cranio spinal irradiation is essential for the treatment of metastatic MPE in pediatric population. 
Keywords : Central Nervous System, Ependymoma, Low Backache, Magnetic Resonance Imaging, Spinal Canal.
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