symptoms include pallor, nausea, and sound/ light sensitivity (sounds like migraine). The symptoms may not last as long as those associated with torticollis, but to the parent and child, it is equally frightening. The work-up includes MRI, an evaluation to rule-out metabolic defects, and an EEg to rule out seizures. The onset of cyclic vomiting can begin at any age but usually starts during the preschool period. The youngster will go to sleep healthy, yet awakens in the middle of the night, vomiting to the point o ? ?]?[??H ??Z][??\\??\??[????\?\??[?\? MH [Y\?[??H?\??\?H?[ ?[? ?[?H???Y? ? HT? ?\X]Y K[? \?X[ H ?X?Z]?H HXY???\???\? ??[?\?]\?]?[? X[ K H \?[? ? ?[ ?X???^?H H ?X?\??[? ] \????\? ?[\ ?\?[?? YH [?\? ?[\?Y? [? ??[? ?[??]]?] x?% ?[Z[?\??[??ZY?Z[?K?H ]Y[? ??[ [?\???[?T?H? HXY \? ?[\?Y]X??X? [?[ ?[? ???[??? H?\? ??[?\?[?[ ?X? ?[? ???? XY?H?[ ?[? ?X?\??[???] ??Y?Z[?[ Z[?X^H???\? ?X?\?H ?\\?]Y?H Z[?Y??YH[?\??[ ?\?H] X???\?H ?X???^?Y\?X??Z[?[ZY?Z[?H[?\?HY??\?[? [?H?[ ????\Z[????[ HX?\?[ H [YK?Y?Z[? HX??Z[?[ZY?Z[?H] X???\?HX???\[?YY?H [?\? ?[\?Y? [? ??[? ?[??]]?] K?\?H?[ ?[? ??[ [?\???[?T?K[??H ?Y?\??Y??H YX] ?X??H]?[ X][??Y? [?\??[?] ??H? \?H ] \???]\?[\?[? ?Y ?\?H [?\? ?[X\?H?\?H \?X?X[?? YX] ?X?X[????H HT?H[???? \? ?\?H[[?? ?]Y\???X[ ?X]Y[?? [??X^H?H???Y\?Y ?ZY?Z[?HYYX?][??????X?]H ?X]Y[?[? ?]?[?[?X^H?H ?\??X?Y ?Y[?Y?Z[?? HXY???\?Y?\? H? ?] X??? ?[ ?]?[? [??X?\??\?H ?\?] ? ? HT?[? ?[Y]?H[?H [? YH???\????????XYX?\???????][?[XYX?H??[?][??????