|Case of the Week - Patient Summary 12700|
Peer Reviewed and Certified -
|Demographics: 37 y.o. man|
|History & Chief complaint:|
| 37 year old man with a Hx of surgery and radiation therapy prior to the age of 10 for a medulloblastoma. History of multiple shunt malfunction episodes in the intervening 25 years. Recent CT scan for worsening headache revealed multiple dural based masses |
|Physical exam and Laboratory:|
| Non-contributory |
|Summary of Findings:|
|Multiple dural-based masses associated with vasogenic edema.
Postoperative changes posterior fossa from remote medulloblastoma surgery.
Cerebral atrophy and white matter changes from childhood radiation therapy.
| Multiple Meningiomas likely radiation induced. |
|Confirmed by: surgery and pathology|
|Treatment and Followup:|
|Largest convexity lesion removed.
Minimal change in smaller lesions over past 5 years
|Dural based (intradural, transdural)
en plaque (carpet-like mass)