Presenter

Suzy Kosteniuk is a neuropathology PGY5 at the University of Calgary.

Author

Suzy E. Kosteniuk 1, Christopher P. Dunham 2, 3

  1. Department of Pathology and Laboratory Medicine, University of Calgary, Calgary, AB, Canada
  2. Division of Anatomic Pathology, British Columbia Children’s Hospital, Vancouver, BC, Canada
  3. Department of Pathology and Laboratory Medicine, University of British Columbia, Vancouver, BC, Canada

Abstract

A 10-year-old boy with a history of autism presented acutely with altered level of consciousness, emesis, left hemiparesis, left facial droop, and slurred speech in the context of a four week history of intermittent headache and vomiting. Computed tomography (CT) scan demonstrated a large right frontal intraparenchymal hemorrhage and suspected underlying intra-axial mass with intraventricular hemorrhage extension, mass effect, and midline shift. The patient underwent emergency craniotomy.

Discussion points

  1. What is the differential diagnoses?
  2. Workup?

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