Acute brainstem haemorrhage as a presenting feature of high-grade glioma

A 7-year-old previously healthy girl presented with 1-day history of headache and unsteady gait. Neurological examination revealed intranuclear ophthalmoplegia, vertical nystagmus and ataxic gait. CT scan showed hyperdense haemorrhagic lesion in the fourth ventricle (figure 1) and MRI further demonstrated a large focus of haemorrhage in the posterior pons and surrounding oedema with two small foci of enhancement along the anterior margin of …