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. © 2012 Al Otaibi et al.; licensee BioMed Central Ltd.
CITATION STYLE
Al-Otaibi, F., Ul-Haq, A., Al-Hindi, H., Al Kofide, A., & Al Shail, E. (2012). Cauda equina syndrome as the initial presenting clinical feature of medulloblastoma: A case report. Journal of Medical Case Reports, 6. https://doi.org/10.1186/1752-1947-6-135
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