Primary central nervous system mesenchymal chondrosarcomas are extreme
ly rare tumors composed of primitive mesenchymal cells punctuated by i
slands of cartilage in various stages of differentiation. Although the
re are isolated reports of tumors arising in the spinal dura, to our k
nowledge extraskeletal mesenchymal chondrosarcoma localized to the cau
da equina has not been reported in the literature. We present an unusu
al case of a mesenchymal chondrosarcoma involving the nerve roots of t
he cauda equina. The clinical, pathological and neuroimaging features
are reviewed and discussed.