Exophytic intraspinal extension of cerebellar glioma--case report

A 49-year-old female presented with a 2-year history of occipitalgia, a 3-month history of dysesthesia, and dull sensation of the left upper extremity. T1-weighted magnetic resonance (MR) imaging revealed a low-intensity mass without gadolinium-diethylenetriaminepenta-acetic acid enhancement extending from the cisterna magna to the spinal canal. T2-weighted MR imaging revealed a high-intensity mass. Neuroradiological findings were inadequate to establish the mass as intra-axial or extra-axial. Operative findings discovered an intra-axial mass which was totally removed. Histological examination found the mass was an oligoastrocytoma. Cerebellar glioma developing exophytically is very rare. Adequate surgical removal is possible and likely to be curative if total.