Case#2: pineal region tumour with drop – metastasis to the lumbar cistern (level S2-S3)

Patient, 5 y.o.: – pineal region tumour with drop – metastasis to the lumbar cistern (level S2-S3); – preoperative deficit – no preoperative deficit; – surgery – occipital interhemispheric transtentorial approach, total tumour removal (Prof. Smolanka V.I.); – histology, immunohistochemistry – pineoblastoma , grade IV, Ki67 – 80%; – radiotherapy, intrathecal chemotherapy via Ommaya reservoir…