Multinodular and vacuolating neuronal tumor (MVNT) of the cerebrum is a relatively novel entity added to the revised 2016 World Health Organization classification,1 though first described in 2013.2 It is characterized by a cluster of intra-axial nodules with mixed neuro-glial cells demonstrating internal vacuolating architecture. The lesions are benign and nonprogressive and, given their innocence, are a potential “no touch” or “leave-me-alone” lesion.3 All published cases have been described in the supratentorium. So far, there are no published cases of MVNT of the cerebellum. We have seen at least 3 cases with imaging characteristics identical to those of MVNT of the cerebrum that were observed in the cerebellum.
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