Recurrent cerebellar metastasis

Case contributed by Bálint Botz
Diagnosis certain

Presentation

Known lung adenocarcinoma primary. Prior resection of solitary cerebellar metastasis. Progressive vertigo, nausea, and headache. ?IC met

Patient Data

Age: 60 years
Gender: Male

Novel, about 30 mm well-circumscribed midline cerebellar mass, hyperdense on non-contrast study, demonstrating inhomogeneous but vivid enhancement. Associated vasogenic edema. Moderate compression of the fourth ventricle, foramen magnum appears crowded with descended cerebellar tonsils, but no frank herniation present. Status post prior occipital craniotomy and cerebellar metastasectomy.

Case Discussion

Typical presentation of a solitary recurrent cerebellar metastasis from a known lung cancer primary.

Also contributed by Dr. Omar Giyab

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