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Acute brainstem haemorrhage as a presenting feature of high-grade glioma
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  1. Yasmin Aghajan1,
  2. Michael L Levy2,
  3. Jun Qin Mo3,
  4. John Ross Crawford4
  1. 1University of California San Diego, School of Medicine, San Diego, California, USA
  2. 2Department of Neurosurgery, University of California San Diego, San Diego, California, USA
  3. 3Department of Pathology, University of California San Diego, San Diego, California, USA
  4. 4Department of Neurosciences and Pediatrics, University of California San Diego, San Diego, California, USA
  1. Correspondence to Dr John Ross Crawford, jrcrawford{at}ucsd.edu

http://dx.doi.org/10.1136/bcr-2016-217370

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    Description

    A 7-year-old previously healthy girl presented with 1-day history of headache and unsteady gait. Neurological examination revealed intranuclear ophthalmoplegia, vertical nystagmus and ataxic gait. CT scan showed hyperdense haemorrhagic lesion in the fourth ventricle (figure 1) and MRI further demonstrated a large focus of haemorrhage in the posterior pons and surrounding oedema with two small foci of enhancement along the anterior margin of …

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