Pediatric cerebellar hemorrhagic glioblastoma multiforme

Peter Kalina1

  • 1Department of Radiology, Division of Neuroradiology, Mayo Clinic, 200 First Street, Rochester, MN 55905, USA.

Insights

A rare cerebellar glioblastoma multiforme (GBM) case in an 11-year-old boy presented with atypical symptoms. This pediatric brain tumor diagnosis was challenging due to minimal enhancement and hemorrhage.

Area of Science:

  • Pediatric Neuro-oncology
  • Neuroradiology
  • Neuropathology

Background:

  • Glioblastoma multiforme (GBM) is a rare primary brain tumor.
  • Cerebellar GBM is exceptionally uncommon, particularly in pediatric patients.
  • Atypical presentations of pediatric brain tumors pose diagnostic challenges.

Purpose of the Study:

  • To report a unique case of cerebellar glioblastoma multiforme in a child.
  • To highlight the diagnostic difficulties associated with atypical GBM presentations.
  • To emphasize the importance of considering rare diagnoses in pediatric neurology.

Main Methods:

  • Case report of an 11-year-old male patient.
  • Clinical evaluation including symptoms of nausea, vomiting, and ataxia.
  • Diagnostic neuroimaging with computed tomography (CT) and magnetic resonance imaging (MRI).

Main Results:

  • Imaging revealed a cerebellar mass with minimal enhancement and hemorrhage.
  • The patient's presentation included symptoms of nausea, vomiting, and ataxia.
  • The combination of cerebellar location, minimal enhancement, and hemorrhage was atypical for GBM.

Conclusions:

  • Cerebellar glioblastoma multiforme is exceedingly rare in children.
  • Atypical imaging findings, including minimal enhancement and hemorrhage, complicate the diagnosis of pediatric cerebellar GBM.
  • This case represents a previously unreported combination of findings for cerebellar GBM in a pediatric patient.

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