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BMJ Case Reports 2009; doi:10.1136/bcr.12.2008.1410
  • Reminder of important clinical lesson

Acute vomiting and mental status changes: a case of acute intraventricular haemorrhage from an optic chiasm tumour

  1. Jonathan N Johnson1,
  2. Ravneet K Dhillon2,
  3. Jana L Anderson3
  1. 1
    Mayo Clinic, Pediatrics, 200 First Street SW, Rochester, MN 55905, USA
  2. 2
    Mayo Clinic, Emergency Medicine, 200 First Street SW, Rochester, MN 55905, USA
  3. 3
    Mayo Clinic, Pediatrics and Emergency Medicine, 200 First Street SW, Rochester, MN 55905, USA
  1. Jana L Anderson, anderson.jana{at}mayo.edu
  • Published 1 June 2009

Summary

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.

Footnotes

  • Competing interests: none.

  • Patient consent: Patient/guardian consent was obtained for publication.

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