Pediatr. praxi. 2026;27(3):189-191 | DOI: 10.36290/ped.2026.031

When a "viral infection" is not a viral infection: morning vomiting and behavioral changes as signs of intracranial hypertension in a toddler

MUDr. Miroslav Belbl
Dětské a dorostové oddělení, Nemocnice Písek, a. s.

We present the case of an almost two-year-old girl who presented to the pediatric emergency ambulance with sudden onset of symptoms of intracranial hypertension and peripheral facial nerve palsy. Due to the alarming symptoms, brain imaging was immediately performed, which confirmed the diagnosis of a brainstem tumor with obstructive hydrocephalus. The girl was subsequently transferred to a neurosurgical department for ventricular drainage. The discussion addresses the prevalence of these tumors, their prognosis, and their typical symptoms.

Keywords: intracranial hypertension, CNS tumors, hydrocephalus.

Accepted: June 22, 2026; Published: July 1, 2026  Show citation

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Belbl M. When a "viral infection" is not a viral infection: morning vomiting and behavioral changes as signs of intracranial hypertension in a toddler. Pediatr. praxi. 2026;27(3):189-191. doi: 10.36290/ped.2026.031.
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    References

    1. Malbari F. Pediatric Neuro-Oncology. Neurol Clin. 2021; 39(3):829-845. Go to original source...
    2. Klimo Jr P, Nesvick CL, Broniscer A, et al. Malignant brainstem tumors in children, excluding diffuse intrinsic pontine gliomas. J Neurosurg Pediatr. 2016;17(1):57-65. Go to original source... Go to PubMed...

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