Case Study Synopsis: A 61-year-old woman was admitted to the hospital after the abrupt onset of paraplegia. She reported having lumbar back pain that had worsened over the last four months. Before her admission to this hospital, she had weakness in her lower extremities; impaired cutaneous sensation was below T12 level, i.e., the 12th thoracic segment, as detected with pinprick; and her reflexes were absent in both lower extremities. Her neurologic examination showed normal cranial nerve function, normal cognition, normal initiation of movements, and normal upper limb function (both sensory and motor). She continued to have absence of pinprick sensation below T12 levels, and muscle weakness in her lower extremities. Based on the symptoms and neurological exam, spinal cord disease was suspected. An MRI scan revealed the presence of a hemorrhage in the spinal cord near the T12 level. Within 3 days, the patient had complete paralysis of both legs, and she had intermittent loss of bladder and bowel control. A urinary catheter was placed, and surgery was performed to remove the accumulated blood, tumor cells and necrotic (dying) tissue. A diagnosis of an intramedullary tumor located at the conus, arising within the spinal cord at approximately the L1-L2 level, is likely an ependymoma, complicated by hemorrhage in her cerebellum. The surgery addressed the cause of the problem, but the patient’s neurologic condition only partially improved. Over the course of 6 months, she was able to regain about 50% of the lost function through intensive physical therapy and rehabilitation but relied on a cane with limited function. She was not able to return to her job due to lack of coordination of her movements.