A 9 year old boy has a history of severe headaches over the last two years.

Question Number 0409

Question:
A 9 year old boy has a history of severe headaches over the last two years. His mother describes how these headaches occur sporadically every few weeks in between which her son is completely normal. They are usually relieved by a few hours sleep. The mother describes how sometimes these headaches are preceded by pallor, vomiting and photophobia. A likely diagnosis is

a) Moya Moya disease
b) child abuse
c) migraine
d) aneurysmally dilated great vein of Galen
e) disseminated gonorrhea


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