Worsening Headache and Ataxia: Your Dx?


With this tumor, the most frequent complaints are headaches and ataxia; a third of patients have associated cranial nerve palsies and long tract dysfunction. Your dx?

A 39-year-old woman presented with a 2-month history of progressively worsening headache and right-sided ataxia. Neurologic examination revealed mild dysmetria, and dysdiadochokinesia on the right side. MRI of the brain was obtained.

What’s your diagnosis?

A. Medulloblastoma
B. Meningioma
C. Lhermitte-Duclos disease
D. Ganglion cell tumor
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