Shah Dipal, Sklar Rachel, Ganti Latha, Walker Joshua
Emergency Medicine, Ocala Regional Medical Center, Ocala, USA.
Emergency Medicine, Brown University, Providence, USA.
Cureus. 2021 Aug 6;13(8):e16934. doi: 10.7759/cureus.16934. eCollection 2021 Aug.
We present the case of an adolescent male who presented to the emergency department with headache and vomiting. We discuss the differential diagnosis and the need to maintain a high index of suspicion to avoid missing ominous causes of headache. In this case, the patient had a pineoblastoma, detected on a noncontrast CT scan. The CT scan was done as part of the emergency department workup to evaluate headache accompanied by vomiting in this otherwise healthy teenager.
我们报告了一例青少年男性病例,该患者因头痛和呕吐就诊于急诊科。我们讨论了鉴别诊断以及保持高度怀疑指数以避免漏诊头痛的严重病因的必要性。在本病例中,患者在非增强CT扫描中被检测出患有松果体母细胞瘤。此次CT扫描是急诊科对这位原本健康的青少年因头痛伴呕吐进行评估的检查工作的一部分。