Medulloblastoma of the cerebellar vermis with subarachnoid dissemination
Medulloblastoma, the most frequent pediatric brain tumor, has a known propensity for subarachnoid dissemination. Spinal metastases indicate a poor prognosis. Intraventricular spread is much less common. We report a case of primary intraventricular dissemination with precocious puberty as the first c...
| Prif Awduron: | , , , |
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| Fformat: | Journal article |
| Iaith: | German |
| Cyhoeddwyd: |
2000
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| Crynodeb: | Medulloblastoma, the most frequent pediatric brain tumor, has a known propensity for subarachnoid dissemination. Spinal metastases indicate a poor prognosis. Intraventricular spread is much less common. We report a case of primary intraventricular dissemination with precocious puberty as the first clinical symptom due to a metastasis at the infundibulary stalk. This has not been reported so far as initial symptom of a medulloblastoma. Furthermore, we encountered an unusually mild contrast enhancement of the spinal and intraventricular metastases. Delayed scanning after contrast administration and FLAIR sequences proved to be particularly valuable in this case. |
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