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Case #26

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Demographics: 6 years old, Female
Indication: Headache

Case #26

Findings

  • Heterogeneously enhancing mass centered in the fourth ventricle measuring 5 x 4 x 3 cm with associated diffuse restricted diffusion
  • Multiple internal vessels are noted on SWI and postcontrast sequences
  • Resultant effacement of the fourth ventricle and obstructive hydrocephalus with subependymal edema involving the lateral and third ventricles
  • Inferior displacement of the cerebellar tonsils into the foramen magnum with crowding of the upper cervical spinal cord

Diagnosis

Medulloblastoma

Key Imaging Features

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Differential Diagnosis

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Discussion

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