Case 38521

Presentation of Case First admission. A fifteen-year-old girl was admitted to the hospital because of severe fronto-parietal headaches, vomiting and loss of vision, beginning about four months before entry. The headaches were accompanied by forceful vomiting, apparently without nausea, were aggravated by walking about and were somewhat relieved by lying down. The headaches occurred with increasing frequency, becoming almost constant by the time of admission. Three weeks before entry, she had a particularly severe headache intensified by any movement of the head, during which there was projectile vomiting, and retraction of the head. The temperature was normal and symptoms disappeared . . .