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A 17-year-old girl reported a 2-week history of progressively worsening daily headaches most prominent on waking in the morning, and 1-week history of vomiting and diplopia. She had been previously well except for a ventriculoperitoneal shunt inserted at the age of 5 months for aqueduct stenosis. On examination, her body mass index was 24 kg/m2. She was afebrile. Her visual acuity was 6/6 on the right and 6/9 on the left, while her visual perimetry was normal. She had a left lateral rectus palsy and unilateral …
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