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This case represents the unique occurrence of supratentorial dissemination of medulloblastoma in theabsence of overt cerebellar disease. The authors present the case of a 64-year-old man who presented withheadaches and intractable nausea with imaging abnormality seen only in the bilateral caudate. Follow-upimaging studies revealed a cerebellar lesion later confirmed by biopsy to be medulloblastoma. Subsequentbiopsy of the originally evaluated caudate lesion demonstrated histologically identical medulloblastoma.Medulloblastoma should be considered in cases of supratentorial masses of unclear origin and shouldprompt careful inspection of the posterior fossa.

american journal of surgical case reports

Adult Medulloblastoma Presenting with Extensive Supratentorial Metastasis with Radiographically Occult Infratentorial Disease: Case Report and Review of the Literature