- Department of Neurosurgery, Voluntary Health Services, Adyar, Chennai-600 113, India
Correspondence Address:
Manish Singh
Department of Neurosurgery, Voluntary Health Services, Adyar, Chennai-600 113, India
DOI:10.4103/2152-7806.77178
© 2011 Singh M This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.How to cite this article: Singh M, Cugati G, Symss NP, Pande A, Vasudevan MC, Ramamurthi R. Extra axial adult cerebellopontine angle medulloblastoma: An extremely rare site of tumor with metastasis. Surg Neurol Int 26-Feb-2011;2:25
How to cite this URL: Singh M, Cugati G, Symss NP, Pande A, Vasudevan MC, Ramamurthi R. Extra axial adult cerebellopontine angle medulloblastoma: An extremely rare site of tumor with metastasis. Surg Neurol Int 26-Feb-2011;2:25. Available from: http://sni.wpengine.com/surgicalint_articles/extra-axial-adult-cerebellopontine-angle-medulloblastoma-an-extremely-rare-site-of-tumor-with-metastasis/
Dear Sir,
Medulloblastomas are rarely seen in the adult population, accounting to less than 1% of primary adult brain tumors.[
A 22-year-old male patient presented with headache, vomiting, ataxia, and left facial weakness of one-month duration. Vision was normal. Fundus examination showed papilloedema. He had left lower motor neuron facial paresis, left IX and X cranial nerve paresis, and left cerebellar signs. Computed tomography scan of the brain showed a left CP angle mixed-density nonenhancing lesion (5.4 × 2.8 cm) with broad-based tentorial attachment and displacement of the fourth ventricle causing obstructive hydrocephalus [
Medulloblastoma usually occur in inferior medullary velum in the midline.[
Extra-axial site of this tumor is extremely rare but must be considered in the differential diagnosis of extra-axial CP angle lesions. Any neurological deterioration seen in follow-up patient must be evaluated for metastasis.
References
1. Dhellemmes P, Demaille MC, Lejeune JP, Baranzelli MC, Combelles G, Torrealba G. Cerebellar medulloblastoma: Results of multidisciplinary treatment. Report of 120 cases. Surg Neurol. 1986. 25: 290-4
2. Fallah A, Banglawala SM, Provias J, Jha NK. Extra-axial medulloblastoma in the cerebellopontine angle. Can J Surg. 2009. 52: E101-2
3. Hubbard JL, Scheithauer BW, Kispert DB, Carpenter SM, Wick MR, Law ER. Adult cerebellar medulloblastomas: The Pathological radiological and clinical disease spectrum. J Neurosurg. 1989. 70: 536-44
4. Jaiswal AK, Mahapatra AK, Sharma MC. Cerebelloponitne angle medulloblastoma. J Clin Neurosci. 2004. 11: 42-5
5. Kumar R, Bhowmick U, Kalra SK, Mahapatra AK. Pediatric cerebellopontine angle medulloblastomas. J Pediatr Neurosci. 2008. 3: 127-30
6. Mohan M, Pande A, Vasudevan MC, Ramamurthi R. Pediatric medulloblastoma: A review of 67 cases at a single institute. Asian J Neurosurg. 2008. 2: 63-9
7. Stevenson L, Echlim F. Nature and origin of some tumors of cerebellum: Medullobastoma. Arch Neurol Psychiatry. 1934. 31: 93-109