M. Grassi, V. Cecinati, F. De Leonardis, D. Amato, L.P. Brescia, D. De Mattia, N. Santoro
UO Oncoematologia Pediatrica “F. Vecchio”, Università di Bari, Azienda Ospedaliero-Universitaria Policlinico “Consorziale”, Bari
A highly malignant gastroesophageal reflux
Key words: Medulloblastoma, Childhood, Diagnosis
report a case of a 13-year-old boy with recurrent episodes of
vomiting. Initially a diagnosis of gastroesophageal reflux with
reflux esophagitis was made. The patient also showed bradycardia
and deflections of mood. Neurological assessment and examination
of fundus oculi resulted normal. Magnetic resonance imaging of
the brain was performed for the persistence of vomiting despite
antireflux therapy: cerebellar neoplasm was found. The
histological evaluation of the excised neoplasm was consistent
with medulloblastoma so the patient was submitted to cancer
chemotherapy and he is currently in remission of disease. We
present an anecdotal case of delay in the diagnosis of brain
tumors in children; in this case the delay was aggravated by the
detection of reflux esophagitis and by the normality of
neurological assessment and of evaluation of the fundus oculi.
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