MYCN and ependymoma: Spinal cord ependymomas are very rare tumors; they occur most commonly in the cervicothoracic region of the spine.[4] The World Health Organization Fifth Edition Classification of central nervous system Tumors classified spinal cord ependymomas into 4 subgroups, spinal ependymoma, spinal subependymoma, myxopapillary ependymoma and spinal ependymoma with MYCN amplification respectively.[5] Ependymomas, because they are slow growing tumors, do not usually cause any symptoms and if they do, they tend to be nonspecific in nature.