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A previously healthy 10-year-old girl became acutely unwell with headache, nausea and vomiting, all exacerbated by movement. She also had an episode of altered consciousness with subsequent retrograde amnesia and was incontinent of urine. She presented to her local hospital and was found to be afebrile with no focal neurological signs. She was discharged with a diagnosis of first-episode absence seizure.
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