medulloblastoma with suprasellar extension and atypical presentation

A 6-year-old boy was referred with symptoms of right partial ptosis, blurred vision and a two-week history of poor coordination and frequent falls. no symptoms of raised intracranial pressure were demonstrated. imaging showed a large sella mass with extension into the posterior fossa and suprasellar region, suggestive of a craniopharyngioma. histopathological examination of the post- surgical resection specimen revealed a small blue cell tumor consistent with a medulloblastoma. this case aims to highlight a posterior fossa tumor with an unusual spread and thus clinical presentation.