21 October 2020
: Case report 
Atypical Imaging of Hemorrhagic Lumbosacral Myxopapillary Ependymoma with Histopathological Correlation: A Case Report
Unusual clinical course, Challenging differential diagnosis, Management of emergency care
Fahad Albadr1ABCDEF, Salha M. Albahkali2ABCDEF, Mohammad S. Alahmadi2ABCDEF, Hussein M. Alsakkaf1ABDEF*, Amro Al-Habib3ABCDEF, Hisham Alkhalidi4B, Ali A. Basalamah5BDEFDOI: 10.12659/AJCR.925449
Am J Case Rep 2020; 21:e925449
Figure 1. Lumbar spine magnetic resonance imaging. (A) Precontrast sagittal T1WI. (B) Fat-saturated mid-sagittal T2WI. (C) Postcontrast midsagittal T1WI. An intradural lesion can be seen at the levels of L5, S1, and S2. The lesion is isointense on T1WI and heterogeneously hypointense on T2WI. Postcontrast images showed a lack of enhancement except for an enhancing focus at the posterior aspect of the lesion. (D) T2 * sequence showed blooming artifacts indicating hemorrhagic content within the lesion. (E, F) Diffusion-weighted and apparent diffusion coefficient (ADC) sequences showed the corresponding heterogeneous diffusion restriction.