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Brain Lesion in Children involving the Posterior Fossa

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Brain Lesion in Children involving the Posterior Fossa, Brain Tumors of the Posterior Fossa in Children, Posterior Fossa Tumors in Children, Pediatric Brain Tumor of the Posterior Fossa

  • Symptoms
  • Common presentation
  1. Nausea or Vomiting
  2. Headache
  3. Ataxia
  4. Visual Symptoms (Diplopia)
  5. Poor appetite
  6. Weight loss
  7. Dizziness
  • Symptoms
  • Occasional
  1. Personality change
  2. Lethargy
  3. Neck Pain
  4. Dysphagia
  5. Weakness
  6. Head Tilt
  7. Seizures
  • Signs
  • Common Presentation
  1. Papilledema
  2. Ataxia
  3. Nystagmus
  4. Gaze Palsy
  5. Bulbar palsy
  6. Facial weakness
  7. Corticospinal tract abnormalities
  • Signs
  • Occasional
  1. Irritability
  2. Meningismus
  3. Opisthotonus
  4. Lethargy
  5. Dysmetria
  6. Head Tilt
  • Differential Diagnosis
  • Mass lesion on head imaging
  1. Mature abscess with capsule
    1. Bacteria
    2. Fungus
    3. Parasitic Infection (Cysticercosis)
  2. Granulomatous lesion
    1. Tuberculosis
    2. Sarcoidosis
  3. Multiple Sclerosis
    1. Large solitary demyelinated Plaque
  4. Hematoma
    1. Differentiate from tumor with Hemorrhage
  5. Arteriovenous malformation
  6. Cerebrovascular Accident (uncommon in children)
  7. Progressive Multifocal Leukoencephalopathy (rare)