Open AccessAcute vomiting and mental status changes: a case of acute intraventricular haemorrhage from an optic chiasm tumour
Author(s) -
Jonathan N. Johnson,
R.K. Dhillon,
Jana L. Anderson
Publication year - 2009
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr.12.2008.1410
Subject(s) - medicine , vomiting , hydrocephalus , differential diagnosis , optic chiasm , pediatrics , altered mental status , anesthesia , radiology , optic nerve , pathology , ophthalmology
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.