Suzy Kosteniuk is a neuropathology PGY5 at the University of Calgary.
Suzy E. Kosteniuk 1, Christopher P. Dunham 2, 3
- Department of Pathology and Laboratory Medicine, University of Calgary, Calgary, AB, Canada
- Division of Anatomic Pathology, British Columbia Children’s Hospital, Vancouver, BC, Canada
- Department of Pathology and Laboratory Medicine, University of British Columbia, Vancouver, BC, Canada
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.
- What is the differential diagnoses?