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A 5 1/2-year-old boy was admitted for video electroencephalographic monitoring to investigate his seizures.
The boy had been born to a 21-year-old woman by spontaneous vaginal delivery after an uncomplicated, full-term, second pregnancy. He sat up at nine months of age and walked at one year. At 18 to 24 months, his vocabulary was noted to be limited, his speech difficult to understand, and his intellect inferior to that of his 7-year-old brother at those ages. His only illnesses were repeated bouts of tonsillitis, which led to a tonsillectomy at the age of four years. Between the ages of two
Differential Diagnosis
Cherry-Red Spots
Diseases That Can Be Ruled Out
Subacute GM2 Gangliosidosis and Group C NiemannPick Disease
Gaze Difficulties
Visual-Field Restriction
Neuronal Ceroid Lipofuscinosis
Clinical Diagnosis
Dr. Robert S. Rust's Diagnosis
Pathological Discussion
Anatomical Diagnosis
Related Letters:
Case 27-2002: Late-Onset Infantile Neuronal Ceroid Lipofuscinosis
McBride K. L.
Extract |
Full Text |
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N Engl J Med 2003;
348:2159, May 22, 2003.
Correspondence
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