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Spinal metastasis of medulloblastoma in adults: A case report

Živković Nenad (Clinical Hospital Center Zemun, Department of Neurosurgery, Belgrade)
Berisavac Iva (Clinical Hospital Center Zemun, Department of Neurosurgery, Belgrade)
Marković Marko (Clinical Hospital Center Zemun, Department of Neurosurgery, Belgrade)
Milenković Sanja (Clinical Hospital Center Zemun, Department of Clinical Pathology, Belgrade)

Introduction. Medulloblastoma is a primitive neuro-ectodermal malignant tumor most commonly seen in childhood and rarely and uncommonly in adult age. Treatment consists of surgery followed by radiotherapy. In the case of a relapse there is no overall accepted treatment. Tumor metastasis can be seen along the neural axis, lymph nodes, soft tissues, bones and distant organs. Case Outline. In this paper we present a 45-year-old female patient with a thoraco-spinal extramedullary metastatic medulloblastoma and progressive neurological deterioration seen 11 months after the first operation and description of magnetic resonance and intraoperative finding. Conclusion. Although rare, the presence of metastasis is a poor prognostic factor. The treatment options for patients with metastases are limited and their prognosis continues to remain poor.

Keywords: medulloblastoma, spinal metastasis, surgical treatment