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articulation plateaued and began to decline: speech was 100% intelligible at 3 years, but at 4 she was only 75% intelligible. Three months prior to presentation, her diet shifted from structured meals to softer solids and frequent, small snacks. Swallowing was difficult, with dribbling of liquids

articulation plateaued and began to decline: speech was 100% intelligible at 3 years, but at 4 she was only 75% intelligible. Three months prior to presentation, her diet shifted from structured meals to softer solids and frequent, small snacks. Swallowing was difficult, with dribbling of liquids

articulation plateaued and began to decline: speech was 100% intelligible at 3 years, but at 4 she was only 75% intelligible. Three months prior to presentation, her diet shifted from structured meals to softer solids and frequent, small snacks. Swallowing was difficult, with dribbling of liquids

articulation and word finding. She also appeared more clumsy than usual with slight gait ataxia. Consciousness was preserved. Diagnostic Workup Brain MRI showed extensive areas of abnormal T2/FLAIR hyperintensity in the cerebellar hemispheres, cerebellar peduncles, internal capsules, and periventricular white matter extending into the corona radiata

articulation and word finding. She also appeared more clumsy than usual with slight gait ataxia. Consciousness was preserved. Diagnostic Workup Brain MRI showed extensive areas of abnormal T2/FLAIR hyperintensity in the cerebellar hemispheres, cerebellar peduncles, internal capsules, and periventricular white matter extending into the corona radiata

articulation and word finding. She also appeared more clumsy than usual with slight gait ataxia. Consciousness was preserved. Diagnostic Workup Brain MRI showed extensive areas of abnormal T2/FLAIR hyperintensity in the cerebellar hemispheres, cerebellar peduncles, internal capsules, and periventricular white matter extending into the corona radiata

articulated throughout; so that, like a great chest of drawers, you can open and shut him, in all his bony cavities—spread out his ribs like a gigantic fan—and swing all day upon his lower jaw. Locks are to be put upon some of his trap