11 Years Old Female with Synergistic Presentation of Cranial and Spinal Pathologies: Myxopapillary Ependymoma with Hydrocephalus - A Rare Entity

The correlation between hydrocephalus and spinal cord tumor was first described by Kyrieleis et. al. 1% concomitant presence documented Mirroni et.al. Moreover, the understanding of pathophysiological association these two conditions is still lacking. 11 years old girl presented in outpatient department Jinnah hospital Lahore with complaints difficulty walking for last 2 years, numbness right leg one year, severe bilateral sciatica months. On further inquiry, she told that also suffering from headaches blurred vision 6 Her neuroimaging revealed mixed density heterogeneously enhancing intradural lesion at conus. She underwent ventriculoperitoneal shunting laminoplasty followed excision reported being myxopapillary ependymoma grade II. headache along signs & symptoms raised intracranial pressure patients warrant cranial imaging. CSF diversion gross total standard acceptable treatment.