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Deterioration History and Physical A male infant with no prior history developed generalized tonic-clonic seizures with multifocal EEG changes at 2 months of life. He also demonstrated feeding difficulties with poor weight gain. Physical examination revealed global developmental delay with axial hypotonia. He started treatment with sodium

Deteriorating History and Physical A 2-month-old infant with no prior history manifested with new-onset loss of muscle tone and difficulties with head control. His physical examination was normal, and he was referred to an early intervention program. After 2 months of therapy, no improvements were

Deterioration History and Physical A male infant with no prior history developed generalized tonic-clonic seizures with multifocal EEG changes at 2 months of life. He also demonstrated feeding difficulties with poor weight gain. Physical examination revealed global developmental delay with axial hypotonia. He started treatment with sodium

Deteriorating History and Physical A 2-month-old infant with no prior history manifested with new-onset loss of muscle tone and difficulties with head control. His physical examination was normal, and he was referred to an early intervention program. After 2 months of therapy, no improvements were

Deterioration History and Physical A male infant with no prior history developed generalized tonic-clonic seizures with multifocal EEG changes at 2 months of life. He also demonstrated feeding difficulties with poor weight gain. Physical examination revealed global developmental delay with axial hypotonia. He started treatment with sodium

Deteriorating History and Physical A 2-month-old infant with no prior history manifested with new-onset loss of muscle tone and difficulties with head control. His physical examination was normal, and he was referred to an early intervention program. After 2 months of therapy, no improvements were

Clinical Differential Diagnosis Imaging Differential Diagnosis Final Diagnosis Discussion Conclusions References Case 29 Head Circumference Is Increasing While the Child Is Deteriorating

Clinical Differential Diagnosis Imaging Differential Diagnosis Final Diagnosis Discussion Conclusions References Case 29 Head Circumference Is Increasing While the Child Is Deteriorating

Clinical Differential Diagnosis Imaging Differential Diagnosis Final Diagnosis Discussion Conclusions References Case 29 Head Circumference Is Increasing While the Child Is Deteriorating

Clinical Differential Diagnosis Genetic leukodystrophies can be inherited in an autosomal dominant, autosomal recessive, or X-linked fashion. These are generally childhood-onset conditions with predominant motor involvement, including hypotonia and pyramidal and cerebellar signs. Cognitive deterioration