患者背景:
3 歳, 女性
適応:
Gait instability, confusion
所見
CT
- Mildly hyperattenuating mass in the left cerebellar hemisphere with mass effect on the fourth ventricle and resultant obstructive hydrocephalus
- No corresponding calcification
MRI
- T1 hypointense, slightly T2 hyperintense mass centered in the inferior aspect of the left cerebellar hemisphere with diffuse enhancement and mild diffuse restricted diffusion
- Crescentic cystic components along the periphery of the mass
- Mild adjacent parenchymal edema
- Corresponding mass effect with obstructive hydrocephalus at the level of the fourth ventricle and mild upward transtentorial herniation
診断
Medulloblastoma (SHH-activated, TP53 wild-type, nodular desmoplastic histology)
鑑別診断
鑑別診断を解放するにはPROメンバーになってください
臨床のポイント
臨床のコツを解放するにはPROメンバーになってください