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Dorchester Center, MA 02124

Pediatric Patient With Headache and Vomiting


Consult Page

7 year old girl with headaches, vomiting, and abnormal brain MRI

Initial Imaging

Fig. 49.1, Axial (A) and sagittal (B) T2-weighted MRI of the brain without contrast demonstrates a large hyperintense infiltrative brainstem lesion with associated hydrocephalus, consistent with diffuse intrinsic pontine glioma.

Walking Thoughts

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    How long has she been having symptoms?

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    What is her neurological exam?

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    Is she having any vision changes or cranial nerve deficits?

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    Does this patient need emergent surgery for management of herniation or hydrocephalus?

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    Will this require resection or biopsy only?

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