Medulloblastoma

Case contributed by Frank Gaillard
Diagnosis almost certain

Presentation

Headaches.

Patient Data

Age: 25 years
Gender: Male
mri

In the left lateral cerebellar hemisphere a heterogeneous mass is present, with mixed T1 and T2 signal and only minor enhancement. DWI / ADC demonstrates profound diffusion restriction, consistent with a highly cellular tumor, most likely a SHH medulloblastoma. 

Case Discussion

The patient went on to have surgery which confirmed the diagnosis of a medulloblastoma. Unfortunately the report and molecular subtype are unavailable. In this age group and location, however, this most likely represents a SHH subtype. 

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