Abstract
The complexities of this case centers on two brothers, Philip and Mark, and their analogous symptoms. Both brothers appeared to have parallel cognitive and emotional disorders without clear etiologies ever established. Viral and other infectious illnesses were put forward as putative causes but without any clear evidence that these were actually the etiologic agents. Both boys were initially seen for assessment of a probable post-infectious encephalopathy or an autoimmune reaction associated with a streptococcal pharyngitis. While there there was no family history of cognitive or psychiatric illness, some genetic underpinning must be entertained until proven otherwise. Philip, age 15, presented first. His brother Mark, age 13, was initially seen 7 months later. Complicating this picture is the suspicion of interpersonal complicity among the boys and their parents, encouraging the mirroring of symptoms.
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- 1.
Quantitative electroencephalography (qEEG) is a procedure that processes the recorded EEG activity from a multielectrode recording using a computer. The qEEG is an extension of the analysis of the visual EEG interpretation which may assist and even augment our understanding of the EEG and brain function.
- 2.
Power spectral analysis is a well-established method for the analysis of EEG signals. Spectral parameters can be used to quantify pharmacological effects.
- 3.
Neuro-optometric rehabilitation is a therapy that utilizes optometric vision therapy, prisms, lenses, filters, and occlusion to help stimulate parts of the brain, which are not functioning to their highest potential due to interruptions caused by brain injury. Brain injury may result from concussion, stroke, birth trauma (ADD/ADHD), chemical trauma (chemotherapy), physical trauma, and in-utero trauma (cerebral palsy, fetal alchol syndrome.)
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Richard Mendius, J. (2018). Two Adolescent Brothers with Postviral Encephalitis Neurological Syndrome and Associated Psychological Overlay involving Parental Enmeshment. In: Frankel, S., Bourgeois, J. (eds) Integrated Care for Complex Patients. Springer, Cham. https://doi.org/10.1007/978-3-319-61214-0_11
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