13 yo boy has 2 mo history of AM headaches, nausea, slurred speech, unsteadiness. During past week, had difficulty concentrating at school, difficulty writing with RIGHT hand, and blurred vision.
Exam shows papilledema (increased intracranial pressure causing swelling of ocular nerves), horizontal & vertical nystagmus, R hand dysmetria on FTN, + Romberg, wide-based unsteady gait.
Acute or chronic?
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