Faecal incontinence as presentation of an ependymomas of the spinal cord

BACKGROUND: Spinal tumours and ependymomas in particular are rare causes of cauda equina syndrome that present with faecal incontinence. CASE PRESENTATION: We present a case of a 45 year old gentleman who presents to a colorectal clinic with incontinence. We then present a review of ependymomas with particular reference to the symptoms they cause as well a review of the neurophysiology of faecal continence. CONCLUSION: Suspicion for non-colonic causes for faecal incontinence should arise when there is absence of other etiologic factors. Establishment of the diagnosis of spinal tumours is with neurological examination and MRI spine.