This case illustrates some of the diagnostic challenges in patients with constitutional symptoms. [ncbi.nlm.nih.gov]

A 14-year-old boy had a 12-day history of headache, nausea, and vomiting. Magnetic resonance imaging revealed a tumor in the fourth ventricle. He underwent a posterior median craniotomy, and total removal was achieved. [ncbi.nlm.nih.gov]

In older children and adults, headache, nausea and vomiting are the most common symptoms. Treatment/Standard of Care Surgery is very important. The neurosurgeon will try to remove as much of the tumour as possible. [braintumour.ca]

Depending on the location, symptoms can include nausea, headaches, vomiting, papilledema, paresthesias, ataxia, spinal pain, and changes in mood and personality. [link.springer.com]

Three days after surgery, the patient complained of upper abdominal pain, nausea, and vomiting. Computed tomography of the abdomen showed dilatation of the stomach. Gastroscopy revealed moderate gastritis without gastric outlet obstruction. [ncbi.nlm.nih.gov]

In our illustrative case, the patient had a 2 year history of hypopituitarism, but no headaches or visual disturbance. Preoperatively, the lesion was thought to be a pituitary macroadenoma. [ncbi.nlm.nih.gov]

ankle reflexes ipsilaterally may occur, as well as flaccid paralysis with loss of reflexes contralaterally Physical findings with myxopapillary ependymomas of the conus and cauda equina may include the following: Presenting symptom is pain in the back [emedicine.medscape.com]

Tiwari et al. report a 62-year-old woman presenting with recurrent symptoms of gait ataxia and cerebellar signs 6 years following gross total resection of a fourth ventricular subependymoma. [jneuro.com]

A 22-year-old female presented with generalized seizures. [ncbi.nlm.nih.gov]