Medulloblastoma

Case contributed by Mahomed A. Osman
Diagnosis certain

Presentation

3 weeks of headache, nausea & vomiting

Patient Data

Age: 20 years
Gender: Male
mri

There is a 4 x 5 cm homogeneous enhancing intra-axial lesion in the left cerebellum, showing restricted diffusion, heterogeneous signal on T2W sequences, hypointense to grey matter on T1W sequences and hyperintense to grey matter on FLAIR sequences.

Case Discussion

The tumor was resected and histologically confirmed to be medulloblastoma. 

Medulloblastoma is typically a pediatric tumor that most commonly arises from the vermis. When seen in adults, however, they are more likely to arise in atypical locations such as the lateral cerebellar hemispheres as opposed to the vermis, which is consistent with the findings in this particular case.

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