THE ESSENTIAL ROLE OF TOTAL NEURO-AXIS SURVEY IN A MEDULLOBLASTOMA PATIENT WITH POSTOPERATIVE QUADRIPLEGIA: A CASE REPORT

Medulloblastoma, mainly arising from the posterior cranial fossa, accounts for 15%-20% of pediatric central nerve system (CNS) tumors. Surgical resection is the major treatment modality used to manage medulloblastoma. Clinically, very few patients develop quadriplegia after surgery. We report a case of medulloblastoma patient developing quadriplegia postoperatively which was initially thought to be secondary to surgery but was later found to due to leptomeningeal carcinomatosis of the cervical spine. Postoperative radiotherapy significantly improved the patient's symptoms. The positive outcome in this patient is a reminder of the pivotal role radiotherapy plays in the management of cancer-related neurologic dysfunction in medulloblastoma patients.