Lombosciatique révélant un épendymome intramédullaire
Zeineb Alaya, Walid Osman
The Pan African Medical Journal. 2017;26:171. doi:10.11604/pamj.2017.26.171.11633

Create an account  |  Sign in
PAMJ Conf Proceedings PAMJ Conf Proceedings
"Better health through knowledge sharing and information dissemination "

Images in medicine

Lombosciatique révélant un épendymome intramédullaire

Cite this: The Pan African Medical Journal. 2017;26:171. doi:10.11604/pamj.2017.26.171.11633

Received: 12/01/2017 - Accepted: 13/03/2017 - Published: 24/03/2017

Mots clés: Lombosciatique, IRM, tumeur rachidienne, épendymome

© Zeineb Alaya et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at: http://www.panafrican-med-journal.com/content/article/26/171/full

Corresponding author: Zeineb Alaya, Service de Rhumatologie, Hôpital Farhat Hached, avenue Ibn El Jazzar, 4000, Sousse, Tunisie (zeineb_a@hotmail.fr)


Lombosciatique révélant un épendymome intramédullaire

Lumbosciatica revealing intramedullary ependymoma

Zeineb Alaya1,&, Walid Osman2

 

1Service de Rhumatologie, Hôpital Farhat Hached, Sousse, Tunisie, 2Service d’Orthopédie, Hôpital Sahloul, Sousse, Tunisie

 

 

&Auteur correspondant
Zeineb Alaya, Service de Rhumatologie, Hôpital Farhat Hached, avenue Ibn El Jazzar, 4000, Sousse, Tunisie

 

 

English abstract

A 68-year-old patient presented with bilateral inflammatory lumbosciatic pain evolving since four months with no vesico-sphincteric disorders and no associated general signs. The examination showed that the patient moves with small steps with anteflexion of the trunk. The patient had disappearance of lumbar lordosis, lumbar spine stiffness, and bilateral positive sign of Lasegue, sharp osteo-tendinous reflexes to the lower limbs with no sensory-motor deficit or saddle anesthesia. The biological assessment did not show any inflammatory syndrome. Radiographs of the lumbar spine were normal. Faced with the atypical nature of the clinical picture, a spinal MRI was performed showing the intra-ductal presence of an oval formation behind the vertebral body of L4, measuring 3 cm in height which appears in discrete hypersignal T1 (A) and hypersignal T2 (B) enhanced after injection of gadolinium and comprising a superior polar cystic component. The patient had a tumor excision in orthopedics. Histological examination of the surgical specimen led to myxopapillary ependymoma.


Key words: Lumbosciatica pain, MRI, spinal tumor, ependymoma



Image en médecine    Down

We here report the case of a 68-year old female patient presenting with inflammatory poorly systematized bilateral lumbosciatica, without vesico-sphincteric disorders or associated general symptoms evolving for 4 months. Physical exam showed gait with little steps with trunk anteflexion, disappearance of lumbar lordosis, lumbar spine stiffness, positive bilateral Lasègue's test and hyperactive osteotendinous reflexes in lower limbs without motor and sensory deficit or saddle block anesthesia. Laboratory tests did not show any inflammatory syndrome. Lumbar spine X-rays were normal. Given the abnormal clinical picture, spinal MRI was performed which showed oval intracanalar mass behind L4 vertebral body, measuring 3 cm height with discrete hypersignal on T1 (A) and with hypersignal on T2 (B), enhanced after gadolinium administration and containing superior polar cystic component. The patient underwent tumor resection in orthopaedics. Histological examination of the surgical specimen revealed myxopapillary ependymomas.

Figure 1: IRM rachidienne: présence en intra-canalaire d’une formation ovalaire en arrière du corps vertébral de L4, mesurant 3 cm de hauteur qui apparait en discret hypersignal T1 (A) et en hypersignal T2 (B), se réhaussant après injection de gadolinium et comportant une composante kystique polaire supérieure

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


The Pan African Medical Journal articles are archived on Pubmed Central. Access PAMJ archives on PMC here

Volume 27 (May - August 2017)

Article tools

This article authors

On Pubmed
On Google Scholar

Navigate this article

Rate this article

Altmetric

Popular articles in Images in medicine

PAMJ is a member of the Committee on Publication Ethics

PAMJ is published in collaboration with the African Field Epidemiology Network (AFENET)
Currently tracked by: DOAJ, AIM, Google Scholar, AJOL, EBSCO, Scopus, Embase, IC, HINARI, Global Health, PubMed Central, PubMed/Medline, Ulrichsweb, More to come . Member of COPE.

ISSN: 1937-8688. © 2017 - Pan African Medical Journal. All rights reserved