case_images: PMC9127182_01
case_images: PMC9127182_02
case_images: Abbreviations: WES, whole exome sequencing.
case_images: fphar-13-794008-g001.jpg
case_images: PMC9127182_02_fphar-13-794008-g001.jpg
case_images: F1
case_images: She continues to have 7-10 day periods every 21-28 days where she has more difficulty in calming (problems with aggression and self-injury), with concentrating, with increased impulsivity, and with loss of language and complex motor coordination (Figure 1).