Presentation

Presented with severe daytime sleepiness, repeated vomiting and catarrh of the upper respiratory tract. The condition worsened in 2 months with pseudobulbar palsy, dysarthria, ataxic syndrome, diffuse muscle hypotonia, decreased muscle strength and tendon reflexes, emotional lability and convergent strabismus on the left.

Patient Data

Age: 8 years
Gender: Female
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