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Neurological picture
A giant cauda equina ependymoma
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  1. W H J P LINSSEN
  1. Department of Neurology
  2. Department of Neuroradiology, St Lucas Andreas Hospital, Amsterdam, The Netherlands
  1. Dr WHJP Linssen, Department of Neurology, St Lucas Andreas Hospital, Jan Tooropstraat 164, PO Box 9243, 1006 AE Amsterdam, The Netherlands. Telephone 0031 20 5108780; fax 0031 20 6837198.
  1. G A G DAVIES
  1. Department of Neurology
  2. Department of Neuroradiology, St Lucas Andreas Hospital, Amsterdam, The Netherlands
  1. Dr WHJP Linssen, Department of Neurology, St Lucas Andreas Hospital, Jan Tooropstraat 164, PO Box 9243, 1006 AE Amsterdam, The Netherlands. Telephone 0031 20 5108780; fax 0031 20 6837198.

http://dx.doi.org/10.1136/jnnp.65.1.71

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    Figure

    Sagittal T1 (1997) weighted image showing a large tumour arising from the end of the conus filling the whole of the lumbar spine and sacrum.

    A 52 year old man presented with slowly progressive signs of a cauda equina lesion. He was incontinent for urine and faeces and could not walk without the aid of a crutch.

    In 1960 a sacral biopsy had demonstrated a mixed papillary ependymoma. Despite increasing pain and tumour growth, the patient has always refused surgery.