Figure 1

Figure1Questions

Which of the following is this patient most likely to develop?

A 16-year-old male is brought to the emergency department by his father following a generalized tonic-clonic seizure. He has had these seizures regularly since early childhood, though their frequency has increased over the past two months. As an infant, he had regular episodes of apnea, which resolved at the age of six months. He has a history of developmental delay and ataxia. On examination, the patient is alert and mildly disoriented. Mild generalized hypotonia and strabismus are present, and polydactyly is noted bilaterally. An MRI of the brain is performed, revealing the findings seen here. Which of the following is this patient most likely to develop? Image credit: @AlAshqarA.

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