Reminder of important clinical lesson
Acute vomiting and mental status changes: a case of acute intraventricular haemorrhage from an optic chiasm tumour
1 Mayo Clinic, Pediatrics, 200 First Street SW, Rochester, MN 55905, USA
2 Mayo Clinic, Emergency Medicine, 200 First Street SW, Rochester, MN 55905, USA
3 Mayo Clinic, Pediatrics and Emergency Medicine, 200 First Street SW, Rochester, MN 55905, USA
Correspondence to:
Jana L Anderson, anderson.jana{at}mayo.edu
In this article, we describe a 5- year-old girl who presented to an emergency department with 1 day of vomiting, mental status changes and decreased activity. Imaging studies revealed a mass in the optic chiasm which had haemorrhaged into her ventricles causing acute hydrocephalus. This case highlights the diligence and broad differential one must have when evaluating a child presenting with a sole complaint of vomiting.
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