Case contributed by Dr Bruno Di Muzio


Boy, 9 years old presented with headache, nausea and vomiting.

Patient Data

Age: 9
Gender: Male

CT Brain (selected images)

There is a 4th ventricle hyperattenuating mass showing homogenous contrast enhancement. There is associated supratentorial hydrocephalus. 


MRI Brain

MRI Brain showing a 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 associated supratentorial hydrocephalus. 

Case Discussion

Medulloblastoma is the most common malignant central nervous system tumour in pediatric patients and the most common primary tumour 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
Case created: 7th Oct 2010
Last edited: 5th Mar 2017
Inclusion in quiz mode: Included

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