Pediatric Epidural Extra-Osseous Ewing’s Sarcoma - Extremely Rare Case Report and Review of the Literature

Primary extra osseous Ewing sarcoma is a rare occurrence even uncommon is presenting as a primary focus in the spinal canal They often present with specific focal neurological signs and symptoms of myelopathy or radiculopathy There are no classic characteristic imaging findings and mimics other common tumors and thus the radiologist must keep an index of suspicion Diagnosis can only be definitively made by histopathology Here we report a year old girl who complained of bilateral lower limb weakness for nearly a week MRI showed one solitary well defined oblong posterior epidural soft tissue lesion at the level of C D She underwent laminectomy of D and complete resection of the tumor The histopathology confirmed a diagnosis of Ewing sarcoma Her symptoms and neurological deficits recovered well and the child is undergoing adjuvant chemotherapy and radiotherapy