Cerebellar pilocytic astrocytoma: Unusual presentation in a 3-year-old girl with classical imaging features

Abstract

Pilocytic astrocytomas (PAs) are the most common pediatric primary brain tumor. They are World Health Organization Grade 1 tumors with an excellent prognosis. In children, the cerebellum, optic nerve chiasm, and hypothalamic region are the most common locations in that order. Clinically, cranial nerve palsies, symptoms of raised intracranial pressure, and ataxia are commonly seen. We present an unusual case of PA in a 3-year-old toddler with inability to walk. High index of suspicion is required for the diagnosis of posterior fossa tumors in this age group as they can deteriorate rapidly.