Case contributed by Dr Hani Salam



Patient Data

Age: Child
Gender: Male

MRI brain

A very large rounded heterogenous tumor is present in the fourth ventricle, bulging inferiorly through the foramina of Luscka and Magendie. It is hyperintense on T2 weighted images,  low on T1 weighted images, with heterogeneous contrast enhancement and has intermediate restricted diffusion on ADC. A ventricular shunt has been inserted through the right frontal lobe. 

Case Discussion

This case illustrates the difficulty in categorically distinguishing medulloblastomas from ependymomas. 

This child went on to have a craniotomy confirming the diagnosis of an ependymoma.

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Case information

rID: 8613
Published: 17th Feb 2010
Last edited: 13th Aug 2019
Inclusion in quiz mode: Included

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