Abstract
Spinal ependymoma is a rare tumor for which there is no consensus on optimal treatment and prognosis. However, complete resection is generally recommended when possible, offering a high rate of local control and favorable long-term survival. In cases where complete resection is not feasible, adjuvant radiotherapy may be considered to reduce the risk of recurrence. A 36-year-old patient, with no prior medical history, was diagnosed with a grade II spinal ependymoma according to the 2021 WHO classification. He underwent total resection in 2021. Twenty-one months later, he experienced a local recurrence and a spinal metastasis, for which he underwent partial resection urgently due to a sudden onset of spinal cord compression symptoms. The patient then received adjuvant radiotherapy, with a total dose of 39.6 Gy and a boost of 14.4 Gy. His pain improved starting from the second week of radiotherapy. One year later, his clinical and radiological condition remains stable.
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