BRAIN TUMORSANEURYSMSVASCULAR MALFORMATIONSTRIGEMINAL NEURALGIASPINE NECK BACKPARKINSONS DISEASEHEMIFACIAL SPASMCARPAL TUNNEL SYNDROME


Case Presentation:

Medulloblastoma Brain Tumor - Case 1


History & Physical

 

  • 20+ year old man presented with headache, nausea and vomitting.

  • On examination, he had no focal neurological deficit and was completely alert and oriented.

 



Imaging


Medulloblastoma Case 1 Image 1

MRI scan of the patient’s brain shows a tumor within the fourth ventricle impinging on the brain stem and mild hydrocephalus.

 



Computer Navigation

Medulloblastoma Case 1 Image 2

Stereotaxy and computer navigation was utilized to localize and remove the tumor precisely, with surrounding neurovascular structures mapped out and protected.



Surgical Procedure

 

  • Sub-occipital inter-tonsillar approach was utilized.




Pathology


Medulloblastoma Case 1 Image 3

The pathology of the tumor confirmed the diagnosis of medulloblastoma.

 

 


 

Post-op Imaging


Medulloblastoma Case 1 Image 4
Before Operation                                          After Operation


Medulloblastoma Case 1 Image 5
Before Operation                                          After Operation

Post-op MRI shows complete resection of the tumor with no injury to surrounding neurovascular structures and resolution of hydrocephalus.



Post-op Course

  • The patient did well postoperatively with no neurological deficit. He was discharged home and returned to full employment.