TY - JOUR AR - AJSCR-2019-1-108 TI - Adult Medulloblastoma Presenting with Extensive Supratentorial Metastasis with Radiographically Occult Infratentorial Disease: Case Report and Review of the Literature AU - Karra, Jones AU - Scott, Seaman AU - Taylor, Abel AU - Toshio, Moritani AU - Varun, Monga JO - American Journal of Surgical Case Reports PY - 2019 DA - Thu 30, Jan 2020 SN - 2674-5046 DO - http://dx.doi.org/10.31487/j.AJSCR.2019.01.08 UR - https://www.sciencerepository.org/adult-medulloblastoma-presenting-with-extensive-supratentorial-metastasis_AJSCR-2019-1-108 KW - Neuro-oncology, neurosurgery, neuropathology AB - This case represents the unique occurrence of supratentorial dissemination of medulloblastoma in the absence of overt cerebellar disease. The authors present the case of a 64-year-old man who presented with headaches and intractable nausea with imaging abnormality seen only in the bilateral caudate. Follow-up imaging studies revealed a cerebellar lesion later confirmed by biopsy to be medulloblastoma. Subsequent biopsy of the originally evaluated caudate lesion demonstrated histologically identical medulloblastoma. Medulloblastoma should be considered in cases of supratentorial masses of unclear origin and should prompt careful inspection of the posterior fossa.