Abstract

Though medulloblastoma frequently involves the leptomeninges at diagnosis, distant metastases are rare on initial presentation. We present a 15-year-old patient with medulloblastoma and equivocal radiographic evidence of an intracerebral metastasis at the time of diagnosis.

Highlights

  • A 15-year-old female presented in April 2011 with a two-year history of intermittent headache, frequent vomiting, and decline in school performance

  • A computed tomography (CT) scan of the head revealed a mass of the posterior fossa with secondary obstructive hydrocephalus

  • Magnetic resonance imaging (MRI) revealed that the mass extended through the region of the lateral recess of the fourth ventricle on the left into the cerebellar pontine angle cistern (Figure 1)

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Summary

Medulloblastoma with an Equivocal Intracerebral Metastasis at Diagnosis

D’Angio1 1Department of Radiation Oncology, University of Pennsylvania, Philadelphia, PA, USA 2Department of Radiology, Children’s Hospital of Philadelphia, Philadelphia, PA, USA. Received date: Mar 06, 2014, Accepted date: May 05, 2014, Publication date: May 09, 2014

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