Abstract
Myxopapillary ependymoma (MPE) is a rare, slow-growing glial tumor classically arising from the filum terminale. Imaging studies play a crucial role in identifying this intradural mass, guiding the diagnostic and surgical approach. This case report details the clinical presentation, diagnosis, and treatment of a 48-year-old male presenting with lower back pain and urinary incontinence who was diagnosed with WHO grade II MPE. This study includes a comprehensive review of MPE, its imaging characteristics, histopathology, treatment options, and prognosis.