Fig. 1. Preoperative T2-weighed MR image showed iso-signal inten sity mass in L1,L2,and S1 level (A). Gadolinium enhanced T1-weighed MR image showed well enhanced IDEM tumor (arrow) in L1 level. Multiple small tumors (arrow head) lay along the thecal sac (B). Spinal cord was deviated to the right by tumor. The margin of tumor was irregular and indistinguishable from thecal sac (C).