J Neurol Surg A Cent Eur Neurosurg 2013; 74(04): 262-264
DOI: 10.1055/s-0032-1304218
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Exophytic Glioblastoma Arising from the Cerebellum: Case Report and Critical Review of the Literature

Thomas Linsenmann
1   Department of Neurosurgery, University of Wuerzburg, Wuerzburg, Bavaria, Germany
,
Camelia Maria Monoranu
2   Department of Neuropathology, University of Wuerzburg, Wuerzburg, Bavaria, Germany
,
Thomas Westermaier
1   Department of Neurosurgery, University of Wuerzburg, Wuerzburg, Bavaria, Germany
,
Csanad Varallyay
3   Department of Neuroradiology, University of Wuerzburg, Wuerzburg, Bavaria, Germany
,
Ralf-Ingo Ernestus
1   Department of Neurosurgery, University of Wuerzburg, Wuerzburg, Bavaria, Germany
,
Giles Hamilton Vince
1   Department of Neurosurgery, University of Wuerzburg, Wuerzburg, Bavaria, Germany
› Author Affiliations
Further Information

Publication History

14 April 2011

07 October 2011

Publication Date:
09 July 2012 (online)

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Abstract

Exophytic glioblastoma arising from the cerebellar tonsil is an extremely rare variant within the possible anatomical presentations of the glioblastoma multiforme (GBM). We report the case of a 55-year-old woman who presented with a tumor located at the cranio-cervical junction with compression of the medulla oblongata and consecutive hydrocephalus. Due to the radiological presentation, the first tentative diagnosis was a meningioma. The tumor was microsurgically removed. Histopathological examination of the tumor revealed a GBM WHO IV. The patient underwent a postoperative percutaneous radiotherapy and concomitant chemotherapy with temozolomide. GBM should be also considered in the differential diagnosis of cerebellar tumors.