{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T15:05:34Z","timestamp":1779375934804,"version":"3.53.1"},"reference-count":14,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"22","license":[{"start":{"date-parts":[[2024,11,25]],"date-time":"2024-11-25T00:00:00Z","timestamp":1732492800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Cosmet Laser Ther"],"published-print":{"date-parts":[[2024,11,25]]},"abstract":"\n BACKGROUND<\/jats:title>\n A myxopapillary ependymoma (MPE) is a distinctive ependymoma variant that arises exclusively in the conus medullaris or the filum terminale. There are few case reports of intracranial occurrences, with even rarer occurrences in the fourth ventricle.<\/jats:p>\n <\/jats:sec>\n \n OBSERVATIONS<\/jats:title>\n A 31-year-old female patient presented with difficulty in maintaining her balance and headaches of 3 months\u2019 duration. Brain magnetic resonance imaging showed a fourth ventricle mass with obstructive hydrocephalus. Surgical removal of the tumor was performed. The biopsy of the tumor revealed the histological feature of MPE, World Health Organization grade 2. To the authors\u2019 knowledge, this is the fourteenth reported case of primary intracranial MPE and the fifth reported case of MPE originating from the fourth ventricle.<\/jats:p>\n <\/jats:sec>\n \n LESSONS<\/jats:title>\n MPEs are known for their notorious adhesion and infiltration of adjacent neural tissue; therefore, the clinical outcome of fourth ventricle MPEs depends on their relationship with the floor of the fourth ventricle.<\/jats:p>\n \n https:\/\/thejns.org\/doi\/10.3171\/CASE24571<\/jats:ext-link>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.3171\/case24571","type":"journal-article","created":{"date-parts":[[2024,11,25]],"date-time":"2024-11-25T13:05:00Z","timestamp":1732539900000},"source":"Crossref","is-referenced-by-count":1,"title":["Isolated myxopapillary ependymoma of the fourth ventricle: illustrative case"],"prefix":"10.3171","volume":"8","author":[{"given":"Alemu A.","family":"Mldie","sequence":"first","affiliation":[{"name":"Department of Surgery, Neurosurgery Unit, Jimma University, Jimma, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abat S.","family":"Baleh","sequence":"additional","affiliation":[{"name":"Department of Surgery, Neurosurgery Unit, Addis Ababa University, Addis Ababa, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henok T.","family":"Molla","sequence":"additional","affiliation":[{"name":"Department of Surgery, Neurosurgery Unit, Addis Ababa University, Addis Ababa, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ermias F.","family":"Yesuf","sequence":"additional","affiliation":[{"name":"Department of Surgery, Neurosurgery Unit, Debre Birhan University, Debre Birhan, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bereket H.","family":"Mekuria","sequence":"additional","affiliation":[{"name":"Department of Surgery, Neurosurgery Unit, St Luke\u2019s Health Care Foundation DBA Soddo Christian Hospital, Soddo, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"bib1","series-title":"Greenberg\u2019s Handbook of Neurosurgery","author":"Greenberg","year":"2023","unstructured":"Greenberg MS. Greenberg\u2019s Handbook of Neurosurgery. GeorgThiemeVerlag; 2023."},{"issue":"8","key":"bib2","series-title":"Neuro Oncol","first-page":"1231","article-title":"The 2021 WHO Classification of Tumors of the Central Nervous System: a summary","volume":"23","author":"Louis","year":"2021","unstructured":"Louis DNPerry AWesseling P, et al. The 2021 WHO Classification of Tumors of the Central Nervous System: a summary. Neuro Oncol. 2021;23(8):1231-1251."},{"key":"bib3","series-title":"Front Oncol","first-page":"1301179","article-title":"Spinal ependymoma in adults: from molecular advances to new treatment perspectives","volume":"13","author":"Cerretti","year":"2023","unstructured":"Cerretti GPessina FFranceschi E, et al. Spinal ependymoma in adults: from molecular advances to new treatment perspectives. Front Oncol. 2023;13:1301179."},{"issue":"2","key":"bib4","series-title":"Clin Neurol Neurosurg","first-page":"211","article-title":"Myxopapillary ependymoma of the fourth ventricle","volume":"108","author":"Lim","year":"2006","unstructured":"Lim SJang S. Myxopapillary ependymoma of the fourth ventricle. Clin Neurol Neurosurg. 2006;108(2):211-214."},{"issue":"2","key":"bib5","series-title":"Br J Neurosurg","first-page":"284","article-title":"Isolated myxopapillary ependymoma of the fourth ventricle: case report and review of literature","volume":"36","author":"Kumaria","year":"2022","unstructured":"Kumaria AChan HWGoldspring RJPaine SMLDow GR. Isolated myxopapillary ependymoma of the fourth ventricle: case report and review of literature. Br J Neurosurg. 2022;36(2):284-285."},{"issue":"2","key":"bib6","series-title":"Int J Radiat Oncol Biol Phys","first-page":"421","article-title":"Management of pediatric myxopapillary ependymoma: the role of adjuvant radiation","volume":"85","author":"Agbahiwe","year":"2013","unstructured":"Agbahiwe HCWharam MBatra SCohen KTerezakis SA. Management of pediatric myxopapillary ependymoma: the role of adjuvant radiation. Int J Radiat Oncol Biol Phys. 2013;85(2):421-427."},{"issue":"1","key":"bib7","series-title":"Brain Tumor Pathol","first-page":"25","article-title":"Primary myxopapillary ependymoma of the fourth ventricle with cartilaginous metaplasia: a case report and review of the literature","volume":"29","author":"Chakraborti","year":"2012","unstructured":"Chakraborti SGovindan AAlapatt JPRadhakrishnan MSantosh V. Primary myxopapillary ependymoma of the fourth ventricle with cartilaginous metaplasia: a case report and review of the literature. Brain Tumor Pathol. 2012;29(1):25-30."},{"key":"bib1","series-title":"Greenberg\u2019s Handbook of Neurosurgery","author":"Greenberg","year":"2023","unstructured":"Greenberg MS. Greenberg\u2019s Handbook of Neurosurgery. GeorgThiemeVerlag; 2023."},{"issue":"8","key":"bib2","series-title":"Neuro Oncol","first-page":"1231","article-title":"The 2021 WHO Classification of Tumors of the Central Nervous System: a summary","volume":"23","author":"Louis","year":"2021","unstructured":"Louis DNPerry AWesseling P, et al. The 2021 WHO Classification of Tumors of the Central Nervous System: a summary. Neuro Oncol. 2021;23(8):1231-1251."},{"key":"bib3","series-title":"Front Oncol","first-page":"1301179","article-title":"Spinal ependymoma in adults: from molecular advances to new treatment perspectives","volume":"13","author":"Cerretti","year":"2023","unstructured":"Cerretti GPessina FFranceschi E, et al. Spinal ependymoma in adults: from molecular advances to new treatment perspectives. 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Br J Neurosurg. 2022;36(2):284-285."},{"issue":"2","key":"bib6","series-title":"Int J Radiat Oncol Biol Phys","first-page":"421","article-title":"Management of pediatric myxopapillary ependymoma: the role of adjuvant radiation","volume":"85","author":"Agbahiwe","year":"2013","unstructured":"Agbahiwe HCWharam MBatra SCohen KTerezakis SA. Management of pediatric myxopapillary ependymoma: the role of adjuvant radiation. Int J Radiat Oncol Biol Phys. 2013;85(2):421-427."},{"issue":"1","key":"bib7","series-title":"Brain Tumor Pathol","first-page":"25","article-title":"Primary myxopapillary ependymoma of the fourth ventricle with cartilaginous metaplasia: a case report and review of the literature","volume":"29","author":"Chakraborti","year":"2012","unstructured":"Chakraborti SGovindan AAlapatt JPRadhakrishnan MSantosh V. Primary myxopapillary ependymoma of the fourth ventricle with cartilaginous metaplasia: a case report and review of the literature. 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