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Cauda equina syndrome as the initial presenting clinical feature of medulloblastoma: a case report

INTRODUCTION: Medulloblastoma is one of the most common pediatric brain malignancies. The usual presenting clinical features are related to posterior fossa syndrome or/and hydrocephalus. Cauda equina syndrome is a very rare presentation for this disease. CASE PRESENTATION: We describe the case of a...

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Detalles Bibliográficos
Autores principales: Al-Otaibi, Faisal, Ul-Haq, Anwar, Al-Hindi, Hindi, Al Kofide, Amani, Al Shail, Essam
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3404946/
https://www.ncbi.nlm.nih.gov/pubmed/22620685
http://dx.doi.org/10.1186/1752-1947-6-135
Descripción
Sumario:INTRODUCTION: Medulloblastoma is one of the most common pediatric brain malignancies. The usual presenting clinical features are related to posterior fossa syndrome or/and hydrocephalus. Cauda equina syndrome is a very rare presentation for this disease. CASE PRESENTATION: We describe the case of a three-year-old boy with cauda equina syndrome as the initial presenting clinical feature for medulloblastoma. He was initially diagnosed as having a spinal tumor by magnetic resonance imaging scan. Subsequently, a cranial magnetic resonance imaging scan revealed a posterior fossa tumor with features of dissemination. He had substantial improvement after treatment. This case report is complemented by a literature review related to this unusual presentation. CONCLUSIONS: Medulloblastoma primarily presenting with cauda equina syndrome is very rare. However, spinal drop metastasis should be considered in the pediatric age group to avoid suboptimal management.