طفل عمره ٧ سنوات يعاني صداعاً متكرراً يوقظه من النوم مع قيء صباحي ومشية غير متزنة. ما التصرف؟

A 7-year-old has recurrent headaches waking him from sleep, with morning vomiting and an unsteady gait. What is the action?

1. Urgent referral for imaging
2. Give daily analgesia and review in a year
3. Check his eyesight for glasses only
4. Reassure the parents it is school tension headache

Answer: A) Urgent referral for imaging. Headache waking a child, morning vomiting and neurological signs such as ataxia are red flags for a posterior fossa tumour or raised ICP and need urgent imaging.