Spinal intramedullary ependymal cyst - Report of two cases and review of the literature

Two pediatric patients (4 and 5 years of age) with spinal intramedullary ep endymal cysts located at the cervical and dorsal cord are reported here. On e patient was admitted with subtle signs, while the other had disabling spa stic quadriparesis. In both patients, MRI depicted a well-demarcated, local ized, nonenhancing intramedullary lesion isointense with CSF on T-1- and T- 2-weighted images. Total excision of the covering membrane of the cyst was not possible in either case. The child with spastic quadriparesis had a rem arkable recovery, while the subtle signs of the other patient regained norm alcy at the follow-up of 4 and 5 months, respectively. Copyright (C) 2001 S . Karger AG, Basel.