Medulloblastoma is a highly malignant frequent paediatric brain tumor. It can be misdiagnosed for other diseases when symptoms are non-specific and neurological examination is normal during evaluation. Physicians must be vigilant not only of suggestive neurological status but also of non -specific symptoms that are persistence and recurring in nature.

Rosai Dorfman disease is a rare cause of sinus histiocytosis with massive lymphadenopathy, in developing countries it mimics tuberculosis and malignancies like lymphoma and its often mismanaged. A high index of suspicion is necessary for its diagnosis. It resolves spontaneously therefore observation is currently the advocated approach for its management.