Adult Medulloblastoma Presenting with Extensive Supratentorial Metastasis with Radiographically Occult Infratentorial Disease: Case Report and Review of the Literature
2020
This case represents the unique occurrence of supratentorial dissemination of medulloblastoma in the
absence of overt cerebellar disease. The authors present the case of a 64-year-old man who presented with
headaches and intractable nausea with imaging abnormality seen only in the bilateral caudate. Follow-up
imaging studies revealed a cerebellar lesion later confirmed by biopsy to be medulloblastoma. Subsequent
biopsy of the originally evaluated caudate lesion demonstrated histologically identical medulloblastoma.
Medulloblastoma should be considered in cases of supratentorial masses of unclear origin and should
prompt careful inspection of the posterior fossa.
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