Case contributed by Dr Bruno Di Muzio


Headache, nausea and vomiting.

Patient Data

Age: 9 years
Gender: Male

CT Brain (selected images)

There is a 4th ventricle hyperattenuating mass with homogeneous contrast enhancement and leading to supratentorial hydrocephalus. 


MRI Brain

MRI Brain showing the 4th ventricle solid mass that seems to arise from the cerebellar vermis, with low signal on T1, high signal on T2 and FLAIR, and vivid contrast enhancement. There is supratentorial hydrocephalus. 

Case Discussion

Medulloblastoma is the most common malignant central nervous system tumor in pediatric patients and the most common primary tumor in the posterior fossa in children; most manifest in patients 5-12 years of age. Clinical features are mainly characterized by intracranial hypertension and ataxia.

This case was confirmed by histology.  

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Case information

rID: 10997
Published: 7th Oct 2010
Last edited: 10th Jan 2020
Inclusion in quiz mode: Excluded

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