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               <dc:title>A rare case of an intramedullary metastasis of a myxopapillary ependymoma</dc:title>
               <dc:creator>Fonseca, Lino</dc:creator>
               <dc:creator>Cicuendez López Ocaña, Marta</dc:creator>
               <dc:creator>Martínez Ricarte, Francisco Ramón</dc:creator>
               <dc:creator>Martinez Saez, Elena Antima</dc:creator>
               <dc:creator>Cordero Asanza, Esteban Xavier</dc:creator>
               <dc:creator>Bescós Cabestre, Agustí</dc:creator>
               <dc:subject>Sistema nerviós - Tumors</dc:subject>
               <dc:subject>Metàstasi</dc:subject>
               <dc:subject>Estudi de casos</dc:subject>
               <dc:subject>DISEASES::Neoplasms::Neoplasms by Histologic Type::Neoplasms::Neoplasms by Histologic Type::Neoplasms, Glandular and Epithelial::Neoplasms, Neuroepithelial::Glioma::Neoplasms::Neoplasms by Histologic Type::Ependymoma</dc:subject>
               <dc:subject>DISEASES::Pathological Conditions, Signs and Symptoms::Pathologic Processes::Neoplastic Processes::Neoplasm Metastasis</dc:subject>
               <dc:subject>PUBLICATION CHARACTERISTICS::Study Characteristics::Case Reports</dc:subject>
               <dc:subject>ENFERMEDADES::neoplasias::neoplasias por tipo histológico::neoplasias::neoplasias por tipo histológico::neoplasias glandulares y epiteliales::neoplasias neuroepiteliales::glioma::neoplasias::neoplasias por tipo histológico::ependimoma</dc:subject>
               <dc:subject>ENFERMEDADES::afecciones patológicas, signos y síntomas::procesos patológicos::procesos neoplásicos::metástasis neoplásica</dc:subject>
               <dc:subject>CARACTERÍSTICAS DE PUBLICACIONES::características del estudio::informes de casos</dc:subject>
               <dc:description>Ependymoma; Intramedullary; Metastasis</dc:description>
               <dc:description>Ependimoma; Intramedular; Metástasis</dc:description>
               <dc:description>Ependimoma; Intramedular; Metàstasi</dc:description>
               <dc:description>Background: Myxopapillary ependimoma (MPE) is a benign slow-growing tumor, and it has been designated histologically as a Grade I neoplasm according to the 2016 World Health Organization classification. Despite the benign character, dissemination and metastasis have occasionally been reported. The retrograde dissemination to other levels of the neuraxis is extremely rare, being more frequent to the intracranial compartment. Case Description: We hereby present a case of medullary metastasis of cauda equina MPE, with a history of having undergone a subtotal resection and postoperative adjuvant radiotherapy. The patient presents complaints of night dorsal pain attributable to intradural metastasis twenty-one years after the first surgical intervention. Conclusion: The case reported highlights the importance of long follow-up in patients with MPE, since the possibility of secondary seeding to distant craniospinal sites or local spinal sites after surgery, and radiotherapy should be considered in metastatic disease.</dc:description>
               <dc:date>2025-10-24T10:26:51Z</dc:date>
               <dc:date>2025-10-24T10:26:51Z</dc:date>
               <dc:date>2020-07-08T09:14:56Z</dc:date>
               <dc:date>2020-07-08T09:14:56Z</dc:date>
               <dc:date>2019-05-10</dc:date>
               <dc:type>info:eu-repo/semantics/article</dc:type>
               <dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
               <dc:identifier>http://hdl.handle.net/11351/5070</dc:identifier>
               <dc:relation>Surgical Neurology International;10</dc:relation>
               <dc:relation>https://surgicalneurologyint.com/surgicalint-articles/a-rare-case-of-an-intramedullary-metastasis-of-a-myxopapillary-ependymoma/#</dc:relation>
               <dc:rights>Attribution-NonCommercial 4.0 International</dc:rights>
               <dc:rights>http://creativecommons.org/licenses/by-nc/4.0/</dc:rights>
               <dc:rights>info:eu-repo/semantics/openAccess</dc:rights>
               <dc:publisher>Scientific Scholar</dc:publisher>
               <dc:source>Scientia</dc:source>
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