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Child with Episodic Severe Frontal Headaches

By Lalitha Sivaswamy, MD | March 19, 2012
Dr Sivaswamy is Assistant Professor of Pediatrics and Program Director of the Neurology Residency Program at Children’s Hospital of Michigan in Detroit.

A 10-year old child presents with episodes of intense bilateral frontal headache accompanied by severe retching at onset that is followed by frequent bouts of emesis. She is well between headaches and results of her neurologic examination are normal. She cannot tolerate oral medications.
 
What diagnosis do you suspect and what options are available to treat this child?
 
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