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Extra-Axial Cerebello-Pontine Angle Medulloblastoma in an Infant: A Rare Case Report with Review of Literature
Santosh Prabhu1, Sidharth Agarwal1, Sujata Prabhu1
1Department of Neurosurgery, Western India Institute of Neurosciences, Kolhapur, Maharashtra, India.
Insights
Extra-axial cerebellopontine angle medulloblastoma is rare in children. This case report details an 8-month-old infant diagnosed with this rare pediatric brain tumor and discusses its management.
Area of Science:
- Pediatric neuro-oncology
- Neurosurgery
- Pediatric pathology
Background:
- Medulloblastoma typically presents as an intra-axial cerebellar mass in children.
- Extra-axial medulloblastoma in the cerebellopontine angle (CPA) is exceptionally rare, with limited reported cases.
- Infantile cases of extra-axial CPA medulloblastoma are exceedingly uncommon.
Purpose of the Study:
- To report a rare case of an 8-month-old infant with an extra-axial CPA medulloblastoma.
- To discuss the diagnostic and management strategies for this rare presentation.
- To contribute to the limited literature on infantile extra-axial CPA medulloblastoma.
Main Methods:
- Case report presentation.
- Review of relevant medical literature.
- Discussion of clinical presentation, diagnostic imaging, and treatment approaches.
Main Results:
- An 8-month-old infant presented with an extra-axial CPA medulloblastoma.
- The case highlights the rarity of this tumor location and age group.
- Management strategies were considered based on available literature and clinical findings.
Conclusions:
- Extra-axial CPA medulloblastoma, though rare, can occur in infants.
- Early diagnosis and tailored management are crucial for favorable outcomes.
- Further case reports are needed to better understand this rare pediatric brain tumor.
Abstract:
Medulloblastoma is a fairly common neoplastic growth seen majorly in children, presenting as an intra-axial midline mass arising from the cerebellar vermis. However, its presentation as an extra-axial mass in the cerebellopontine angle (CPA) is extremely rare, such that, only 39 cases have been reported in the world literature till 2016. Only one case has ever been reported of an extra-axial CPA medulloblastoma in an infant; who was aged 1 year. We present a case report of an 8-month-old infant, with an extra-axial CPA medulloblastoma and discuss its management strategy.
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