Functional Tolerance of the Cervical Cord in Giant EpendymomaHernando Rafael*
Neurosurgeon, Clínica Santa Monica, Lima, Peru
- *Corresponding Author:
- Hernando Rafael
Belgica 411-BIS Colonia Portales, 03300 Mexico City, Mexico
Tel: +5255 5532 9101
Fax: 51 991 489 111
E-mail: [email protected]
Received date: January 28, 2016; Accepted date: March 29, 2016; Published date: June 11, 2016
Citation: Rafael H (2016) Functional Tolerance of the Cervical Cord in Giant Ependymoma. J Brain Tumors Neurooncol 1:109. doi: 10.4172/2475-3203.1000109
Copyright: © 2016 Rafael H. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Author reports to a 42-year-old man who suffered motor impairment in his limbs since 17- years of age, and five years later he presented central pain. In August 2011, a preoperative MRI scans showed syringobulbia and a giant intramedullary tumor, which occupied 70% of the cervical cord. The neoplasm was surgically removed and the histological study was recognized as cellular ependymoma. At present, 56 months after surgery the patient can walk with or without assistance and persists with central pain. This patient confirms previous observations that in dyscomplete transection there are axons in function and that could improve after a decompression or revascularization. Moreover, this patient confirms that there is a huge tolerance of the spinal cord to chronic injuries.