The most usual presentation of medulloblastoma is with a short history of features of raised intracranial pressure - listlessness, vomiting and early morning headache.
Unsteadiness, falls and double vision follow, and develop over a few days.
Examination will demonstrate gait and truncal ataxia, paralytic strabismus, papilloedema and nystagmus. Neck stiffness due to tonsillar herniation is common.
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