Clinical Image of a Spinal Ependymoma Discovered 8 Years after Initial Misdiagnosis as an Idiopathic Syringomyelia

With the increasing frequency of neuroimaging, incidental intramedullary cavities are diagnosed more frequently. We present a case asymptomatic cervical cavity as an idiopathic syringomyelia initial magnetic resonance imaging (MRI) showed isolated cystic image without contrasted component. The patient had no subsequent MRI follow-up, but eventually symptoms 8 years later. By this stage disease, appearance changed, showing solid and enhanced underwent surgical resection histopathology concluded papillary ependymoma (grade 2). This illustrates how may hide underlying tumoral process why these should not be considered by default, except after prolonged follow-up.