Case contributed by Dr Hani Salam


Severe headache and vomiting.

Patient Data

Age: 17 years
Gender: Female

CT brain

CT scan of the brain reveals a large posterior fossa hyper-dense mid-line lesion. No calcification or haemorrhage. Marked hydrocephalus is evident with transependymal oedema. 


MRI brain

MRI confirms the presence of a midline lesion, which appears to arise from the vermis. The lesion is of low signal intensity on T1 and intermediate signal intensity on T2 weighted images. High signal intensity is noted on DWI. Heterogeneous enhancement is seen on post contrast sequences. 

Acute hydrocephalus with transependymal oedema is seen as well.

Case Discussion

This patient went on to have a posterior fossa craniotomy and resection. The mass was proven to be a medullobastoma. 

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Case information

rID: 11004
Case created: 7th Oct 2010
Last edited: 23rd Mar 2017
Inclusion in quiz mode: Included

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