Ependymoma of the Spine: What Patients Need to Know About This Rare Spinal Tumor

Health | Spinal Tumors
October 21, 2026
Woman working in front of computer

Learning that an MRI has revealed a spinal cord tumor can be overwhelming, especially when the diagnosis involves a condition most patients have never heard of.

A spinal ependymoma is a tumor that can develop from ependymal cells associated with the central nervous system. Although these tumors are uncommon, their location within or around the spinal cord means they may cause significant neurological symptoms as they grow.

For patients diagnosed with a spinal ependymoma, evaluation by a neurosurgeon experienced in spinal tumor removal is an important step toward understanding the diagnosis and treatment options.

What Is a Spinal Ependymoma?

Ependymomas can occur in the brain or spinal cord. In adults, they may develop within the spinal cord itself, making them a type of intramedullary spinal cord tumor.

Because the spinal cord carries signals between the brain and the rest of the body, even a relatively slow-growing tumor can eventually interfere with neurological function.

Symptoms depend heavily on the tumor’s location, size, and effect on nearby spinal cord structures.

What Are the Symptoms?

Spinal ependymoma symptoms may develop gradually and can initially resemble more common spine conditions.

Patients may experience:

  • Neck or back pain
  • Numbness or tingling
  • Weakness in the arms or legs
  • Changes in sensation
  • Difficulty with balance or walking
  • Problems with coordination
  • Radiating pain
  • Changes in bowel or bladder function in more advanced cases

Because many of these symptoms can also occur with herniated discs, spinal stenosis, or nerve compression, imaging is often necessary to identify the underlying cause.

Progressive neurological symptoms should not be ignored, particularly when weakness, balance changes, or loss of function develops.

How Is a Spinal Ependymoma Diagnosed?

MRI is one of the primary tools used to evaluate suspected spinal cord tumors.

Detailed imaging allows a neurosurgeon to examine the tumor’s location, size, relationship to the spinal cord, and other characteristics that may help guide treatment planning.

A patient’s neurological examination is equally important. Strength, sensation, reflexes, balance, and other functions provide information about how the tumor may be affecting the spinal cord.

For patients seeking a neurosurgeon in Los Angeles, obtaining a specialist review of existing MRI images can help clarify the diagnosis and potential next steps.

When Is Spinal Tumor Removal Recommended?

Depending on the tumor’s size, location, symptoms, growth, and imaging characteristics, surgery may be considered to remove the tumor and relieve pressure on neurological structures.

Spinal cord tumor surgery requires careful planning because the goal extends beyond tumor removal. Preserving neurological function is also a major priority.

Dr. Luke Macyszyn specializes in treating spinal tumors and complex spinal disorders and offers advanced surgical options for patients in Los Angeles and beyond.

In selected cases, minimally invasive surgical techniques may also be an option. The appropriate approach depends on the individual tumor and the patient’s anatomy.

Why Specialist Experience Matters

Spinal tumors are different from many routine degenerative spine conditions. Their relationship to the spinal cord and nerves can make treatment especially complex.

An experienced spinal tumor specialist can evaluate not only whether a tumor should be removed, but also the safest approach for reaching it while protecting surrounding neurological structures.

Patients who have recently received an ependymoma diagnosis may also benefit from a second opinion before deciding on treatment.

Schedule a Consultation

A spinal ependymoma diagnosis can raise many questions, but the MRI finding is only the beginning of the evaluation. Understanding the exact location of the tumor, its effect on the spinal cord, the symptoms it is causing, and available treatment options can help patients make more informed decisions.

To better understand your diagnosis and available treatment options, request an MRI review or schedule a spinal tumor consultation with Dr. Macyszyn today.

Begin Your Journey to a Healthy Spine Today!

Dr. Luke Macyszyn
Dr. Luke Macyszyn