C4.011 - Papilledema

Case not moderated.

12 year old girl came with history of Double vision since 2 weeks, Headache and Vomiting since 2 months and Loss of 3 KG weight since 1 month. She had also lost Appetite for last 6 months. On examination, she had horizontal diplopia. Her BCVA was 6/6 in both eyes. She had a right esotropia with mild limitation of Abduction and end gaze nystagmus in both eyes.

Color Fundus Photo

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Disc edema

Color Fundus Photo

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Visual Fields

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enlarged blind spot both eyes

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MRI

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MRI brain with contrast - Heterogenously enhancing mass lesion in 4th ventricle causing obstructive hydrocephalus, possibly Medulloblastoma

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MRI

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MRI

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MRI

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MRI

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MRI

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MRI

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MRI

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