TY - JOUR T1 - A 4-year-old girl with malaise, squint and restricted neck movement JF - Archives of disease in childhood - Education & practice edition JO - Arch Dis Child Educ Pract Ed SP - 144 LP - 144 DO - 10.1136/archdischild-2015-308522 VL - 101 IS - 3 AU - Charlotte Wyatt AU - Mark Tighe Y1 - 2016/06/01 UR - http://ep.bmj.com/content/101/3/144.abstract N2 - A 4-year-old girl presented with lethargy and anorexia, increasing in severity over the last few days. The child had been complaining of generalised joint pains and felt unable to move her neck. Also she complained of episodes of blurred vision, headaches and her mother reported a new onset squint. On further questioning, … ER -