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FIGURE 6.78 Conus myxopapillary ependymoma in a 43-year-old man. (A) (Left) Sagittal precontrast and (right) postgadolinium T1weighted images show a well-circumscribed enhancing mass at the conus. (B) Consecutive sagittal T2-weighted images clearly demonstratethemass.The small T2-dark focus (arrow) suggests the presenceofhemosiderin(blood products), a useful clue favoring the diagnosisofependymoma.

Source:FromLeeRR.Spinaltumors.In:LeeRR,ed.SpinalImaging(Spine:StateoftheArt Reviews,Vol.9).Philadelphia,PA:Hanley&Belfus;1995;261–286.

FIGURE6.79RecurrentcervicalependymomainNF-2ina22-yearold woman. Consecutive postgadolinium sagittal images show an extensiveenhancingmassexpandingthecervicalcord.Patienthashad priortumorresectionevidencedbypostsurgicalchangesposteriorly.

NF,neurofibromatosis

FIGURE 6.80 Astrocytoma in a 4-year-old girl. Left. Sagittal postgadoliniumT1MRimageshowsfusiformexpansionoftheupper cervical cord, with mild partial enhancement and extensive T1-dark edemaextendinguptothemedullaanddowntoC6.Right.SagittalT2 imageagainshowsthefusiformcordexpansion.TheT2-brightedema iswelldemonstrated.

FIGURE 6.81 Astrocytoma in a 4-year-old boy. Sagittal T1-image showsmarkedfusiformexpansionofthemid/lowerthoraciccord.

FIGURE 6.82 Oligodendroglioma: 64-year-old man presented with leftleg atrophyandweakness. PostcontrastsagittalT1-weighted MR image shows an enhancing intramedullary mass (arrowheads) with somecysticcomponents.(Becauseofpatient’sscoliosis,normalneural foraminaarenotedbetweentheregionsoftumor).

FIGURE6.83HemangioblastomainvonHippel–Lindausyndromein a28-year-oldwoman.SagittalpostgadoliniumT1imageshowsasmall enhancing nodule in the posterior upper cervical cord with an associated cyst that expands the cord slightly. Patient has had cerebellarhemangiomasresectedpreviously.

FIGURE6.84Recurrentintramedullarycysticteratomaina36-yearoldwoman.Coronal T1-weightedMR imageshowscysticexpansion of the cord by proteinaceous fluid. There was essentially no enhancement after IV contrast. At surgery this tumor contained keratin,hair,andmucus.

FIGURE 6.85 Metastatic prostate carcinoma invading sacral nerve roots in a 70-year-old man. Oblique-coronal postgadolinium T1weighted MR image shows diffuse enlargement and subtle enhancementoftheright-sidedsacralnerveroots(arrows).Atsurgery, diffuse infiltration of the roots by prostate cancer was found. No involvementofthevertebralmarrowwaspresent.

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