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Question
Dear sir, 13y male child present with ataxia for one month after falling in bathroom. PMH:known case of medulloblastoma operated on 4y ago+shunt operation.Then followed by chemotherapy. After the fall he was referred to his neurosurgeon who arrange CATscan and told them it is -ve. Do you think any relation between the fall and ataxia?or it is recurrence of the tumor? what is the next step?

Answer
What is the status of the hydrocepahlus? Is the shunt functioning well. One may consider a D/D of recurrence of tumor, increasing hydrocephalus as possible causes.
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