A young boy with recurrent vomiting followed by headache for four years. Repeatedly evaluated for gastric, liver and kidney diseases. Neurological examination normal. No history of fits.
MRI brain showed hyper intense frontal cortex on DWI.
EEG showed frontal spike with generalized discharges in HV.
Suspected ictal vomiting. Treated with Levetiracetam. Patient asymptomatic on followup visit.