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.