Paediatric Medulloblastoma: A Case Report

Irene Dorathy, Priya Ranjani, Sarah Emma Rosalind

Abstract: Medulloblastoma is the most common malignant brain tumour in children, comprising 12% to 25% of paediatric brain tumours. Despite its rarity in adults, it poses significant challenges in paediatric neuro-oncology due to its aggressive nature. Classified as a WHO Grade IV embryonal tumour, it originates in the cerebellum and tends to grow rapidly, with a high risk of spreading through cerebrospinal fluid. This case report outlines the diagnosis and management of a child with cerebellar medulloblastoma presenting with extensive nodularity and obstructive hydrocephalus. Initial symptoms were vague, leading to delays in recognition until rapid clinical deterioration necessitated immediate neuroimaging and surgical intervention. A multidisciplinary team performed a resection to relieve intracranial pressure and remove as much tumour as safely possible, followed by a personalized chemotherapy regimen based on the tumour?s characteristics. A distinguishing feature of this case was the inclusion of a Public Health Nurse in the post-discharge care plan. The nurse provided ongoing neurological monitoring, supported treatment adherence, and guided the family through the recovery phase. This partnership between clinical and community-based care teams ensured continuity, reinforced family support, and contributed to positive health outcomes. The report highlights the impact of coordinated care that bridges hospital treatment with community follow-up. Early intervention and collaborative support systems were essential in achieving clinical stability and optimizing the child?s recovery and neurological function.

Keywords: Medulloblastoma, Multidisciplinary care