Solve exciting clinical cases specific to your field of interest via Docplexus’ Clinical Case Challenge. Join your fellow doctors to discuss and answer today’s challenge. Case presentation A 9-year-old school student presented with complaints of sleep disturbance for the last four years. The patient also complained of poor scholastic performance for the past two years. Patient history There is no history of inattention, hyperactivity, mood swings, or being bullied by his peers.
He is the firstborn of a third-degree consanguineous marriage with a four-year-old younger brother. The perinatal phase was uncomplicated, and the child developed normally. There are no family disputes, recent deaths, or a history of sleep issues. Physical examination The patient was on medications that offered no relief from the presenting complaints. No fever, seizures, altered sensorium, or atopic disorders.…
