الصفحة 358 - Ocular signs of cerebral involvement include the following: nystagmus, unilateral mydriasis, bilateral miosis with slow response to light, paralysis of accommodation, convergence, and 3rd, 4th, and 6th cranial nerve involvement. ‏ [books.google.com]

Table 1 List of clinical features observed in JBS present in the pro band Common dysmorphic features in JBS Proband Craniofacial High prominent forehead Facial asymmetry – Trigonocephaly Narrow forehead Flat occiput Ophthalmic Telecanthus Downslanting [ncbi.nlm.nih.gov]

Fig. 1 Clinical features of the patient. a Frontal view of the patient. b Facial features: high, prominent, narrow forehead; trigonocephaly; flat occiput; telecanthus; strabismus; palpebral ptosis; bushy double eyebrows; short nose; broad nasal bridge [karger.com]

الصفحة 358 - Ocular signs of cerebral involvement include the following: nystagmus, unilateral mydriasis, bilateral miosis with slow response to light, paralysis of accommodation, convergence, and 3rd, 4th, and 6th cranial nerve involvement. ‏ [books.google.com]

الصفحة 358 - Ocular signs of cerebral involvement include the following: nystagmus, unilateral mydriasis, bilateral miosis with slow response to light, paralysis of accommodation, convergence, and 3rd, 4th, and 6th cranial nerve involvement. ‏ [books.google.com]

Minassian First published January 14, 2016, DOI: A previously healthy 16-year-old girl of Jamaican descent presented with a 1-year history of progressive daytime somnolence, sleep attacks (sudden irresistible episodes of sleep), and paroxysms of altered [ng.neurology.org]

On examination, she was normocephalic and nondysmorphic and had no focal neurologic deficits. MRI brain was interpreted as within normal limits. [ng.neurology.org]

This pattern was associated with alteration of consciousness and drowsiness. (B) Karyotype demonstrating mosaicism of ring chromosome 20; some cells have the ring chromosome, whereas others have 2 normal chromosomes 20 (arrows). [ng.neurology.org]

Epileptiform activity may be activated in sleep. [ng.neurology.org]

interictal epileptiform discharges, often in the frontal brain regions. [ng.neurology.org]