DOI: 10.1002/ccr3.73616 ISSN: 2050-0904

A Rare Instance of Adult Medulloblastoma Presenting Imaging Heterogeneity Correlating With Molecular Subtypes and Anatomical Locations

Zechen Wang, Chao Guan, Jianing Zhang, Jie Wu, Yunqing Chen, Yugong Feng, Zhenwen Cui, Chen Shen, Pin Guo

ABSTRACT

We report an adult medulloblastoma presenting as two imaging‐distinct lesions: a uniformly enhancing torcular mass (WNT‐activated) and a non‐enhancing cerebellar tumor (SHH‐activated). A cohort analysis confirmed torcular location favors uniform enhancement, mimicking meningioma. Accurate diagnosis requires integrating molecular subtypes and location‐specific hemodynamics.