# Syncope in a Patient With an Extensive Thoracolumbosacral Myxopapillary Ependymoma

## TL;DR

A young woman with syncope was found to have a rare spinal tumor, showing that unusual symptoms can indicate spinal issues.

## Contribution

This case report presents syncope as an atypical presentation of thoracolumbosacral myxopapillary ependymoma.

## Key findings

- A T10-S2 myxopapillary ependymoma was identified in a patient with syncope and neurological symptoms.
- Subtotal debulking of the tumor led to resolution of the patient's symptoms postoperatively.

## Abstract

Myxopapillary ependymomas are most commonly found involving the conus medullaris, cauda equina, and filum terminale, causing lower extremity symptoms, whereas atypical presentations such as syncope are rare. A 20-year-old woman presented with multiple syncopal episodes, headache, visual changes, and lower extremity paresis. Imaging revealed a T10-S2 myxopapillary ependymoma and mild ventriculomegaly. The patient underwent subtotal debulking, and histopathologic examination confirmed a WHO Grade II myxopapillary ependymoma. Postoperatively, her symptoms resolved. This case highlights the importance of evaluating spinal pathology in patients with atypical presentations of syncope.