A correction has been published: N Engl J Med 2007;356(10):1081.
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Dr. Kerstin Zanger (Pediatrics): A 5-year-old boy was admitted to the hospital because of headache, abdominal pain that had increased in severity and frequency, increasing abdominal girth, and a rash.
The patient had been well until 5 months earlier, when severe headaches, occasionally associated with emesis, and episodes of abdominal pain developed. His pediatrician saw him several times during the next month; the results of initial physical examinations were normal, but at the end of that month, papilledema was seen on funduscopic examination. Magnetic resonance imaging (MRI) of the brain the next day showed collections of subdural fluid over both
Differential Diagnosis
Subdural Hygroma
Degos's Disease
Dr. Verne S. Caviness, Jr.'s Diagnosis
Pathological Discussion
Discussion of Management
Anatomical Diagnosis
Source Information
From the Departments of Neurology (V.S.C.), Radiology (P.S.), Pediatrics (E.J.I., E.F.G.), Dermatology (B.T.M.), and Pathology (M.P.F.), Massachusetts General Hospital; and the Departments of Neurology (V.S.C.), Radiology (P.S.), Pediatrics (E.J.I., E.F.G.), Dermatology (B.T.M.), and Pathology (M.P.F.), Harvard Medical School.
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