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

To cite: Aghajan Y, Levy ML, Mo JQ, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2016217370 DESCRIPTION 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 the mass (figure 2). Craniotomy was performed for evacuation of the haemorrhage and