Day at the Emergency Room

I was right to take Spane to the ER. He's been diagnosed with Dandy Walker Syndrome. This is the final report I got from the ER. We were at the ER from 12 noon to 9:30 at night. They finally did a CT scan, and this is what they came up with.

The psychiatrist at the ER said that Spane needs to see a pediatric psychiatrist to determine if it is an organic psychosis (his words).

Emergency Room Discharge Instructions:

Neurology: HEADACHE = hx of Mega Cisterna Magna (Dandy Walker Syndrome) (unspecified) The cause of your headache is probably due to a congenital formation in your head.

FINAL REPORT:

Reason for Exam:

Headache

Report:

History:

7-year-old male with headache

Technique:

CT of head is performed utilizing serial 5-mm axial images obtained from skull vertex down through foramen magnum without the use of intravenous contrast administration.

Findings:

No acute intracranial hemorrage or cortical ischemia. Ventricular size is normal. Gray white matter differentiation is well-maintained. No midline shift or mass effect. No extra-axial fluid collection. Posterior fossa structures are intact. Incidental Mega cisterna magna is seen. Visualized paranasal sinuses and mastoid air cells well aerated. Osseous structures are unremarkable.

Impression:

• No acute intracranial disease.
• Incidental Mega cisterna magna.