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Pathology
A 3 year old boy is brought to the emergency depament after the acute onset of headache, vomiting, nuchal rigidity, and impaired mental status. MRI reveals a posterior fossa tumor that fills the 4th ventricle. Surgery is immediately staed, and intraoperative consultation leads to a "frozen section" diagnosis of medulloblastoma. Which of the following pathologic mechanisms most likely accounts for this child's clinical presentation?
Acute hemorrhage into the 4th ventricle
Alteration of medullary function
Increased intracranial pressure
Infiltration of the cerebellar vermis by the neoplasm
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