At 8 years of age, she developed symptoms of central nervous system (CNS) vascular impairment including recurrent headaches with nausea, vomiting, blurred vision, hallucinations, and dysosmia. During a hypertensive crisis at 9 years, she had a right occipital stroke. At 15 years, she was diagnosed with a seizure disorder. Although her headaches improved initially with depakote therapy, the headaches subsequently worsened and are now treated with anti-migrainoids.