CP ANGLE MEDULLOBLASTOMA WITH SUPRATENTORIAL DROP METS

Authors

  • Sana Razzaq Akbar Niazi Teaching Hospital, IMDC, Islamabad-Pakistan
  • Muhammad Assad Javed Akbar Niazi Teaching Hospital, IMDC, Islamabad-Pakistan
  • Ain Us Saba Islamabad Dental College, Islamabad-Pakistan
  • Niaz Ahmed Islamabad Dental College, Islamabad-Pakistan
  • Salman Habib Akbar Niazi Teaching Hospital, IMDC, Islamabad-Pakistan
  • Sana Razzaq Akbar Niazi Teaching Hospital, IMDC, Islamabad-Pakistan

DOI:

https://doi.org/10.55519/JAMC-02-12611

Keywords:

Keywords: Medulloblastoma, CP Angle tumor, Supratentorial metastasis

Abstract

Medulloblastoma, is an undifferentiated neuroepithelial tumour of embryonic origin”. It is an uncommon central nervous system tumour, and adult-onset is even rarer. It could form in an unusual or unconventional location, like the cerebellopontine angle (CPA), and such tumours don't frequently show supratentorial extension. Less than 2 per million persons are affected each year, with children being affected ten times more than adults. Case Presentation: We present a 17-year-old male with complaints of occipital headache and having trouble walking for three months. Right Cerebellopontine (CP) angle lesion with ipsilateral mass effect over the cerebellum was seen on MRI brain with contrast. The tumour was excised by right sub-occipital retro mastoid craniotomy and histopathology revealed medulloblastoma. Post-operatively patient underwent chemo-radiotherapy. Craniospinal MRI was done to look for any dropmets. Recovery was uneventful. Two years later, he complained about headaches and generalized tonic-clonic seizure, MRI brain with contrast revealed a lesion with extra-axial components with a mass effect in the right temporal lobe. Right temporal craniotomy was done and the tumour was excised and histopathology showed a round blue cell tumour (medulloblastoma). Conclusion: We report a rare case of medulloblastoma located at the CP angle along with supratentorial metastasis 2-years after treatment.

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Published

2024-06-30