A CASE REPORT: GRADE III EPENDYMOMA IN 74 YEARS OLD FEMALE

Abdullah Alkhamees*, and Bassam Fallatah

ABSTRACT

Grade III anaplastic ependymomas are a rare type of brain tumors. Ependymomas have distinct subtypes depending on their localization, with some types being linked to the patient’s age. These tumors are infrequently found outside the ventricular system. Commonly originate from the ependymal cells within the ventricles but it may also extend to cerebral hemispheres or infratentoriel. We present a rare case of grade III ectopic ependymoma in a 74-year old female with progressive onset of a sensory deficit involving the left side of the body, starting at the left lower limb with gradual extension to the upper limb. The anatomopathological results are in favor of an ependymoma grade III subtype for which surgical resection with complementary radiotherapy was considered as the first choice of treatment. Aim: To study the clinical features, imaging findings, and treatment. Conclusion: Grade III ependymomas are rare subtype of CNS tumors that seem to be diagnosed more often. The clinical progressions and management of such patients are quite variable. The significance of adjunctive therapy is continuously debated yet surgical intervention is the main choice of treatment.

Keywords: Ependymoma, Anaplastic Ependymoma, and Neuropathology.