Malignant rhabdoid tumor (MRT) is a recently described variety of chil
dhood renal neoplasm. MRT arising primarily in the central nervous sys
tem (CNS) is still a rather unfamiliar pathological entity and is freq
uently misdiagnosed as medulloblastoma or primitive neuroectodermal tu
mor (PNET). We describe a 7-month-old boy who harbored a CNS-MRT that
originated within the IV ventricle and invaded the brain stem and the
cerebellar hemispheres, After an initial documented good response to c
hemotherapy the turner recurred locally 9 months after operation. We d
iscuss clinical and histopathological features distinguishing between
PNET/medulloblastoma and MRTs. Current literature on MRT of the CNS is
briefly reviewed.