Description:
Abstract: This 15-year-old boy was diagnosed with papilledema and papillary venous bleeding diagnosed as a result of a work-up after 6–9 months of persistent headaches, which typically occurred twice a week. The character was pounding and at times reached 6–7 points on a 10-point intensity scale. Besides blurred vision and headaches the neurological examination was non-focal, especially no problems passing urine or mental decline were detected. A pineal region tumor was found on brain magnetic resonance imaging (MRI, Figs. 1, 2, 3 and 4). Blood samples were negative for alpha-fetoprotein (AFP) and beta-human chorionic gonadotropin (beta- HCG)