Posterior fossa ependymoma

Case contributed by Utkarsh Kabra

Presentation

Headache, vertigo

Patient Data

Age: 35 years
Gender: Male
mri

Altered signal intensity lesion measuring 34 x 33 x 41 mm (AP x TD x CC) in posterior fossa. The lesion is completely occupying the fourth ventricle, distending it. It is extruding out of right foramen of Luschka and reaching up to right internal auditory canal. It is compressing medulla anteriorly and right cerebellar hemisphere posteriorly. Areas of hemorrhage /calcification seen with heterogeneous enhancement on post contrast study.
Right vertebral artery is seen in close proximity to the lesion.
No obvious evidence of hydrocephalus is seen in present scan.

Case Discussion

Findings suggest an ependymoma.

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