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Monday, January 23, 2012

Intra Fourth Ventricular Tumor

HISTORY:-

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.