A girl with abnormal movements and emotional lability puzzles doctors

October 1, 2012

While on the inpatient pediatric service, you receive a call from the emergency department (ED) about a 6-year-old girl who has abnormal movements and emotional lability. When meeting the child and her mother, you discover that the illness began about a week before presentation, when the child was sent home from school because of headache and vomiting.