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al granular layer that did not disappear after the first year of life.

Faulty mutation of the nuclear protein P53.

Genetic: Family hx of Gorlin syndrome,


Blue-Rubber – Bleb syndrome,

Non-modifiable Factors
Turcot syndrome

Age: 2-10 yrs old


Sex: female
Modifiable Factors
unknown

Tumor arises on the vermis of the cerebellum

Tumor grows along the channels of 4th ventricle

Fills and blocks the 4th ventricle Compression of cerebellum

Legend:
Invasion and compression of brainstem
Obstruction of CSF flow in the 4th ventricle
Cerebellar dysfunction Yellow – factors present in patient
White- book- based factors
Red – symptoms elicited by patient
Black – course of the disease

ataxiaHx of poor coordination in upper extremities


Brainstem dysfunction
Increased ICP hydrocephaly

macrocephaly
Signs: Signs:
Uncoordinated eye movements Sunset eyes
Nystagmus Lethargy
Diplopia Morning headache
Facial weakness Daily vomiting
Increased respiratory rate Anorexia
Abnormal heart rate Blurry vision

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