A 7-month-old female infant, born at term after an uneventful pregnancy, presents with a history of developmental delay and episodic abnormal eye movements. The parents describe episodes of rapid, jerky eye movements lasting a few seconds, occurring several times a day. The child has mild facial dysmorphism, including a flattened nasal bridge and low-set ears. Despite these concerns, she is otherwise healthy, with no history of seizures.

What is your likely diagnosis and how would you proceed with the treatment plan?

  • #pediatrics
  • #psychiatry
  • #emergency medicine
  • #academics

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