Intended for healthcare professionals

Endgames Spot Diagnosis

Headache and papilloedema in a 10 year old

BMJ 2017; 358 doi: (Published 14 September 2017) Cite this as: BMJ 2017;358:j3807
  1. Anan Shtaya, clinical lecturer in neurosurgery,
  2. Bassam Dabbous, consultant neurosurgeon
  1. St George’s University Hospital NHS Trust and St George’s University of London, London, UK
  1. Correspondence to Anan Shtaya ashtaya{at}

A 10 year old girl described intense headaches at the front of her head, which had been coming and going since she banged her head two months earlier. She also described feeling sick with the headaches, and had vomited on several occasions. On examination, she had papilloedema, otherwise neurological examination was normal. She had a computed tomography (CT) scan of the head (fig 1A) followed by magnetic resonance imaging (MRI) of the brain (fig 1B). What is the relevant finding?

Fig 1 Axial computed tomography …

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