The patient is a 5-year-old right-handed white boy with no significant past medical history.

On the day of presentation, he was in his usual state of good health. In the morning he played
basketball with friends. He returned home for lunch but, unusually, had no appetite and
complained of dizziness; he subsequently vomited. He slept most of the afternoon, but
continued to experience intermittent emesis. That night, when he tried to get to the bathroom
on his own, he fell and was unable to walk without assistance. He was very unsteady, and in
the bathroom he fell again. Later that night, he was pale, "didn't look right," continued to be
unsteady on his feet, and vomited repeatedly. He was taken by ambulance to a community
hospital.

At the emergency room, basic metabolic and hematologic laboratory profiles were performed
and found to be normal. An abdominal ultrasound was also normal. He was diagnosed with
viral gastroenteritis and dehydration, and was admitted to the pediatric ward at 4 am. He
continued to vomit frequently. Later that morning, he was evaluated by a pediatrician who
noted that he had a wide-based, ataxic gait. A head CT was obtained, revealing a posterior
fossa mass. At that time, he was transferred to our hospital for neurosurgical evaluation.

Pada suatu hari anak A meminta izin kepada ibunya untuk bermain basket dengan teman temannya.
Ketika dia balik kerumah untuk makan siang tiba tiba dia pusing dan tidak napsu makan. Dan tiba tiba
dia muntah, sehingga pada siang itu an.A memilih untuk tidur. Namun, tiap sebentar dia kembali
muntah-muntah. Pada malam hari, saat dia mencoba ke kamar mandi, dia terjatuh dan tidak mampu
berjalan tanpa bantuan. Dia berdiri tidak seimbang dan dikamar mandi terjatuh kembali. Lalu kedua
orangtuanya membawa nya ke unit gawat darurat.
CASE STUDY : NEUROLOGY

GROUP 6TH

1. VENTI AGUSTIN
2. ELFA APTIA
3. ARSELINA RISKY HERDIKA
4. TISSA KURNIA ADHARIN
5. NAJMI ULFA MISBAH

The patient is a 5-year-old right-handed white boy with no significant past medical history.
On the day of presentation, he was in his usual state of good health. In the morning he played
basketball with friends. He returned home for lunch but, unusually, had no appetite and
complained of dizziness; he subsequently vomited. He slept most of the afternoon, but
continued to experience intermittent emesis. That night, when he tried to get to the bathroom
on his own, he fell and was unable to walk without assistance. He was very unsteady, and in
the bathroom he fell again. Later that night, he was pale, "didn't look right," continued to be
unsteady on his feet, and vomited repeatedly. He was taken by ambulance to a community
hospital.

At the emergency room, basic metabolic and hematologic laboratory profiles were performed
and found to be normal. An abdominal ultrasound was also normal. He was diagnosed with
viral gastroenteritis and dehydration, and was admitted to the pediatric ward at 4 am. He
continued to vomit frequently. Later that morning, he was evaluated by a pediatrician who
noted that he had a wide-based, ataxic gait. A head CT was obtained, revealing a posterior
fossa mass. At that time, he was transferred to our hospital for neurosurgical evaluation.