The Infant Who Loses Ambulation

May 17, 2026 by in NEUROLOGY Comments Off on The Infant Who Loses Ambulation
History and Physical A 2-year-old girl with no prior history presented with a new gait disorder. At daycare, she experienced progressive worsening of motor clumsiness and psychomotor skills, without cognitive…
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Neurodegenerative Diseases

May 17, 2026 by in NEUROLOGY Comments Off on Neurodegenerative Diseases
Introduction Neurodegenerative diseases of childhood have different forms of presentation and it can be clinically challenging to identify regression. In the early stages, it is usually very difficult to establish…
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Ironing Out the Cause of Seizures

May 17, 2026 by in NEUROLOGY Comments Off on Ironing Out the Cause of Seizures
History and Physical A 12-year-old girl had a prolonged history of severe global developmental delay, stereotyped behaviors, nocturnal awakenings, and occasional staring spells. During infancy, she was diagnosed with global…
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Skin Is the Window to the Brain

May 17, 2026 by in NEUROLOGY Comments Off on Skin Is the Window to the Brain
History and Physical A 48-day-old girl presented to the emergency department with a first-time seizure. Immediately after breastfeeding, she vomited and became unresponsive. Her head and eyes deviated to the…
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Secondary Seizures

May 17, 2026 by in NEUROLOGY Comments Off on Secondary Seizures
History and Physical A 15-year-old right-handed boy consulted for left-sided hemiclonic motor seizures that evolved into bilateral tonic-clonic motor seizures. These were refractory to antiseizure medications (ASMs), and he subsequently…
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Focus on the Etiology

May 17, 2026 by in NEUROLOGY Comments Off on Focus on the Etiology
History and Physical A 6-week-old boy presented with 1 week of episodic bilateral arm flexion and upward eye rolling. These episodes occurred in clusters (4–5 seizures/cluster, 3 times a day)….
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Long-Term Epilepsy-Associated Tumors

May 17, 2026 by in NEUROLOGY Comments Off on Long-Term Epilepsy-Associated Tumors
History and Physical A previously healthy 10-year-old girl presented for 10 months of dystonic painful left limb posturing followed by transient left hemiplegia. Events occurred in the mornings upon awakening,…
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Preterm Infant With Hypotonia

May 17, 2026 by in NEUROLOGY Comments Off on Preterm Infant With Hypotonia
History and Physical A male infant was born at 33 +1 weeks of gestation by emergency cesarean section in the setting of breech positioning, hypotonia, and prolonged bradycardia of 60…
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The Infant With Asymmetric Posture

May 17, 2026 by in NEUROLOGY Comments Off on The Infant With Asymmetric Posture
History and Physical A 15-month-old boy was brought in for difficulties using his left hand. He was born full term with no complications during pregnancy or delivery. At 5 months…
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