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  1. Vivek Mundada1,
  2. Deepa Krishnakumar1,
  3. Manali Chitre1,
  4. Tilak Das2
  1. 1Department of Paediatric Neurology, Addenbrooke's Hospital, Cambridge, UK
  2. 2Department of Radiology, Addenbrooke's Hospital, Cambridge, UK
  1. Correspondence to Dr Vivek Mundada, Department of Paediatric Neurology, Addenbrookes Hospital, Cambridge CB2 0QQ, UK; v.mundada{at}

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A 13-year-old boy with mild learning difficulties presented to his district general hospital after an unwitnessed episode of collapse with vomiting but no loss of consciousness. He had 3 days of lethargy and intermittent occipital headaches waking him from sleep. Two days later, after …

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