PMID- 23562332 OWN - NLM STAT- MEDLINE DCOM- 20140320 LR - 20130802 IS - 1878-1632 (Electronic) IS - 1529-9430 (Linking) VI - 13 IP - 8 DP - 2013 Aug TI - Tanycytic ependymoma of the filum terminale associated with multiple endocrine neoplasia type 1: first reported case. PG - e49-54 LID - S1529-9430(13)00266-0 [pii] LID - 10.1016/j.spinee.2013.02.066 [doi] AB - BACKGROUND CONTEXT: Ependymoma associated with multiple endocrine neoplasia type 1 (MEN-1) is an extremely rare clinical entity. To the best of our knowledge, only five cases of ependymoma associated with MEN-1 have been previously described. Furthermore, there has been no case of tanycytic ependymoma of the filum terminale associated with MEN-1. PURPOSE: The present case report illustrates a 53-year-old man with tanycytic ependymoma of the filum terminale associated with MEN-1. We review the literature on ependymoma with MEN-1 and tanycytic ependymoma of the cauda equina region and also discuss the risk of recurrence. STUDY DESIGN: A case report. METHODS: The patient presented with complaints of nocturnal pain in the lower back, accompanied by numbness around the anus and intermittent claudication for approximately 1 year. Magnetic resonance imaging (MRI) identified an intradural-enhancing, large mass lesion at the level from Th12 to L2 vertebrae, with a cranial cystic lesion. RESULTS: Open-door laminoplasty of the Th12, L1, and L2 and en bloc tumor resection with thickened filum terminale were performed. Histopathologic examination of the tumor specimens showed tanycytic ependymoma (World Health Organization Classification Grade II). At the time of the 2-year and 8-month follow-up examination, MRI did not show tumor recurrence. CONCLUSIONS: This is the first reported case of this clinical entity. A careful follow-up of patients with this unusual tumor is strongly recommended. CI - Copyright (c) 2013 Elsevier Inc. All rights reserved. FAU - Funayama, Toru AU - Funayama T AD - Department of Orthopaedic Surgery, Graduate School of Comprehensive Human Sciences, University of Tsukuba, 1-1-1 Tennoudai, Tsukuba, Ibaraki 305-8575, Japan. funatoru3@gmail.com FAU - Sakane, Masataka AU - Sakane M FAU - Yoshizawa, Tomohiro AU - Yoshizawa T FAU - Takeuchi, Yousuke AU - Takeuchi Y FAU - Ochiai, Naoyuki AU - Ochiai N LA - eng PT - Case Reports PT - Journal Article DEP - 20130403 PL - United States TA - Spine J JT - The spine journal : official journal of the North American Spine Society JID - 101130732 SB - IM MH - Cauda Equina/*pathology/surgery MH - Ependymoma/*complications/pathology/surgery MH - Humans MH - Laminectomy MH - Lumbar Vertebrae/pathology/surgery MH - Magnetic Resonance Imaging MH - Male MH - Middle Aged MH - Multiple Endocrine Neoplasia Type 1/*complications/pathology/surgery MH - Peripheral Nervous System Neoplasms/*complications/pathology/surgery OTO - NOTNLM OT - Conus medullaris OT - Filum terminale OT - Multiple endocrine neoplasia type 1 OT - Tanycytic ependymoma EDAT- 2013/04/09 06:00 MHDA- 2014/03/22 06:00 CRDT- 2013/04/09 06:00 PHST- 2012/03/21 00:00 [received] PHST- 2013/02/25 00:00 [revised] PHST- 2013/02/25 00:00 [accepted] PHST- 2013/04/09 06:00 [entrez] PHST- 2013/04/09 06:00 [pubmed] PHST- 2014/03/22 06:00 [medline] AID - S1529-9430(13)00266-0 [pii] AID - 10.1016/j.spinee.2013.02.066 [doi] PST - ppublish SO - Spine J. 2013 Aug;13(8):e49-54. doi: 10.1016/j.spinee.2013.02.066. Epub 2013 Apr 3.