Presentation
Headaches increasing in severity for longer than 1 month, nausea and dizziness.
Patient Data
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Selected CT images demonstrating a posterior fossa mass, centered in the upper portion of the vermis containing cystic and solid components with significant effacement of the forth ventricle and diffuse dilatation of the supratentorial ventricles.
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Predominantly solid mass arising from the vermis with cystic components and restricted diffusion.
There is a marked mass effect, including effacement of the fourth ventricle and infratentorial CSF cisterns with low-lying cerebellar tonsils.
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Expected postsurgical changes following recent resection of the posterior fossa mass. Right transparietal approach shunt in appropriate position.
Case Discussion
Classic features of medulloblastoma, histologically confirmed as SHH-activated and TP53 Wildtype (WHO grade IV).