title: A rare case of paediatric pontine glioblastoma presenting as a cerebellopontine angle otogenic abscess.
abstract: 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.
authors.affiliation: Department of Neurosciences, School of Medical Sciences,Universiti Sains Malaysia, Health Campus, 16150 Kubang Kerian, Kelantan, Malaysia. deptneurosciencesppspusm@yahoo.com
authors.forename: Kantha
authors.initials: K
authors.lastname: Rasalingam
authors.forename: Jafri Malin
authors.initials: JM
authors.lastname: Abdullah
authors.forename: Zamzuri
authors.initials: Z
authors.lastname: Idris
authors.forename: Hillol Kanti
authors.initials: HK
authors.lastname: Pal
authors.forename: Nasser
authors.initials: N
authors.lastname: Wahab
authors.forename: Effat
authors.initials: E
authors.lastname: Omar
authors.forename: Salma Win
authors.initials: SW
authors.lastname: Mar