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Malaysian Journal of Medical Sciences
School of Medical Sciences, Universiti Sains Malaysia
ISSN: 1394-195X
Vol. 15, No. 1, 2008, pp. 44-48
Bioline Code: mj08008
Full paper language: English
Document type: Case Report
Document available free of charge

Malaysian Journal of Medical Sciences, Vol. 15, No. 1, 2008, pp. 44-48

 en A Rare Case of Paediatric Pontine Glioblastoma Presenting as a Cerebellopontine Angle Otogenic abscess
Rasalingam, Kantha; Abdullah, Jafri Malin; Idris, Zamzuri; Pal, Hillol Kanti; Wahab, Nasser; Omar, Effat & Mar, Salmaa Win


We describe rare case of a 9-year old boy who presented with a two- week history of right ear discharge and mild fever. Contrast enhanced CT scan of the brain showed a lesion in the right cerebellopontine angle with mild enhancement mimicking early abscess formation. Involvement of the mastoid air cells pointing towards a radiological diagnosis of mastoiditis reinforced the diagnosis of an abscess. A magnetic resonance imaging (MRI) was planned for the patient but his conscious level deteriorated and patient slipped into coma warranting immediate surgical intervention. Intraoperatively, about 90% of the tumour was removed and the appearance of the tumour resembled that of an acoustic schwannoma but histopathology confirmed the diagnosis of a glioblastoma multiforme (GBM). MRI done post operatively showed lesion in the pons confirming the diagnosis of an exophytic pontine glioblastoma multiforme.

Maxillary molar abscess, cavernous sinus thrombosis, superior ophthalmic vein thrombosis

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