Introduction: Delayed diffuse cerebellar swelling is a rare life-threatening complication following medulloblastoma resection.
Presentation: We present our experience of managing a 4-year-old who developed diffuse cerebellar swelling with upward herniation 41 days after resection of a large cell anaplastic medulloblastoma.
Conclusion: Emergency chemotherapy alone was sufficient in promoting regression of swelling and recovery from coma. Reports of similar cases are scant. Chemotherapy may be a critical component of treatment.
Keywords: Chemotherapy; Delayed cerebellar swelling; Medulloblastoma; Upward herniation.