12th April 2024

A 6-year-old boy who has had difficulties in school is brought in by ambulance after a five-minute episode of uncontrolled laughter

A 6-year-old boy who has had difficulties in school is brought in by ambulance after a five-minute episode of uncontrolled laughter during class. The teachers were worried that he may have had a seizure as he was not fully responsive during the episode. On examination, he has a strong body odour and has signs of facial hair and axillary hair development. On further questioning, the parents mentioned that he has always been different from his siblings in behaviour, is unable to sit still, and cannot focus on completing one task at a time. Which of the following is the most likely cause of his presentation?

Select the SINGLE most appropriate option from the list below. Select ONE option only.