Metastasis of medulloblastoma

Case contributed by Dr Vinay Shah

Presentation

Limb weakness. Additional history withheld.

Patient Data

Age: 19 years
Gender: Female
MRI

MRI spine

Diffusely bulky spinal cord, which shows extensive heterogeneous enhancement. Multiple surface and nodular enhancing lesions in the surface of spinal cord. These represent metastatic involvement. Nodular enhancing lesion at L4 to S1 vertebral levels in the spinal canal, represent drop metastasis. 

MRI

Postoperative and post VP shunt status.

 Mild pinching of both the lateral ventricles with thin extra axial subdural stripe seen in the both cerebral convexity. Possibility of underlying shunt over drainage should be ruled out.   

Multiple altered signal enhancing areas in the both cerebellar hemisphere,  adjacent to fourth ventricle, pons, left basi frontal region, perimesencephalic cistern, prepontine cistern, ambient cistern and interpeduncular cistern. 

Case Discussion

This patient had been operated for medulloblastoma and had received radiotherapy. Unfortunately they developed extensive recurrent disease. 

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Case information

rID: 20933
Case created: 22nd Dec 2012
Last edited: 19th Dec 2016
Tag: spine
Inclusion in quiz mode: Included

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