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A male patient was admit-ted at 7, 13 and 27 years of age with cerebrospinal axis tumors. The first lesion, an epedymoma, arose from the floor of the fourth ventricle. The second tumor, also an ependymoma, was found arising from a filament of the cauda equina. A seeding was suspected. The third tumor was found both intra and extradurally at the level of T 5-6. It extended through the left intervertebral foramen. All three tumors were excised in toto. The patho-logical diagnosis of the first two tumors was that of an ependymoma. The third was that of a neurofibroma. The patient, now 24 years after first admission appears well and symptom free.
The reluctance to consider the probability of a second or third tumor of the spinal. axis now seems unjustified.
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