SPINAL EPENDYMOMA IN A YOUNG FEMALE PRESENTING WITH LATE BLADDER-BOWEL INVOLVEMENT

Ependymomas are rare tumors which arise from the ependymal cells that line the ventricles of the brain and the center of the spinal cord. It is the most common intramedullary mass in adults. Due to central location ependymoma presents with early bladder/bowel involvement, here we present an unusual case of ependymoma in a 25-yr old female of lumbo-sacral spine clinically presenting with neurological deficits but late bladder bowel symptoms (2 years after onset of weakness).MRI lumbo-sacral spine revealed ill-defined intramedullary mass lesion involving conus medullaris and filum terminale with scalloping of posterior margin of D12 to L2 vertebral bodies. Our patient is up for neurosurgical resection.