A nine year old boy presented to emergency department two days ago with sudden sever bout of cough followed by loss of consciousness for few minutes, when the child became conscious had global amnesia, could 'nt remember his name, did not recongnised his parrents, and complained severe pain in left hypogastric region. child's behaviour is waxing and waning and wanning. one moment appears noarmal, and then after a while complains of pain in left hypogastric region and puts his hand there. Had one tablet of brufen for pain in the heel before this episode. Known asthmatic. Neurological examination did not reveal much except child appears very frightened. x-ray ches normal. CT. SCAN normal. When yesterday a ballon bursted in the ward, child said same explosion happened in my head at the time of this eposode. Any thoughts and similar experiences will be welcomed. Dr. S.Javied.MD.