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Article ID	#19348
Title	Subtle clinical signs of a spinal cord ependymoma at the cervicothoracic level in an adult: a case report
URL	http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1840009/
Journal	J Can Chiropr Assoc. 2006 Dec;50(4):244-248
Author(s)	Bussières A
Subject(s)	Ependymoma Spinal Cord Neoplasms / diagnosis Spinal Cord Neoplasms / diagnostic imaging
Peer Review	Yes
Publication Type	Case Report
Abstract/Notes	A 33-year-old male presented to a chiropractic clinic complaining of chronic, recurrent low back pain. Subtle signs of muscle atrophy were noted in the left hand during the history taking. This muscle atrophy was reported as having a gradual onset spanning the past six months without any precipitating event. Cervical,thoracic and lumbar spinal radiographs were deemed unremarkable. Due to the progressive nature of the neurological deficit, the patient was referred for a neurological consultation. A magnetic resonance imaging (MRI) study was performed and revealed an expansive intramedullary lesion between C6 and T1 suggesting a differential diagnosis of spinal cord ependymoma or astrocytoma. The patient underwent surgical excision of the tumour. Pathological report confirmed a diagnosis of ependymoma. In the presence of subtle clinical signs, clinicians should keep a high index of suspicion for spinal cord tumours. This abstract is reproduced with the permission of the publisher. Click on the above link for full text.

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