Abstract:  28-year-old woman presented with headaches, light-headedness, dizziness, and episodes of emesis. The patient complained of numbness and tingling on the right side of her face. Prior to this, the patient was in her usual state of health. The patient had previously had skin nevi removed that demonstrated "aggressive" histology. She had been taking oral contraceptives for 1.5 years. The patient's physical examination was otherwise unremarkable.