8 yo B - blurred vision and headache for 3 m
- tilting his head back to look straight ahead
- difficulty asleep for 2 m
- 3.4 weight loss over the past 6 m
- equal pupils no reactive to lgih
- upward gaze is impaired
- nystagmus and eyelid retraction while attemptinf to look upwards

sequela?
a Blidness
b Cardiac arrhytmia
c Subarachnoid hemorrhage
d Precocious puberty
e Diabetes insipidus