25 YR old gentleman r/o Iraq, presented with c/c of:-
- Vomitings-6 months
- Headache-4 monhts
- Gait ataxia-1 month
On steroids since last one month, imorvement in sympotomatology
EXAMINATION:-
- Nystagmus
- Impaired tandem walking
INVESTIGATIONS:-
- MRI Brain
TREATMENT:-
Suboccipital craniectomy with tumor decompression done
INTRA-OPERATIVE FINDINGS:-
- Soft, suckable, intra fourth ventricular tumor attached to dorsal brainstem
HISTOPATHOLOGY:-
- Anaplastic Ependymoma
POST-OPERATIVE PERIOD:-
- Having lower cranial nerve paresis post-operatively along with diplopia, gradually improving.
