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Figure 2: Electroencephalographic fi ndings in children with Menkes disease with epileptic spasms: Patient 2: There were frequent bursts of asynchronous high voltage slow waves intermixed with spikes lasting for around 2 seconds followed by suppression lasting for 2– 2.5 seconds suggestive of burst suppression variant of hypsarrhythmia. Patient 5: The background is chaotic and asynchronous with random high voltage slow waves and spikes suggestive of classical hypsarrhythmia

Figure 2: Electroencephalographic fi ndings in children with Menkes disease with epileptic spasms: Patient 2: There were frequent bursts of asynchronous high voltage slow waves intermixed with spikes lasting for around 2 seconds followed by suppression lasting for 2– 2.5 seconds suggestive of burst suppression variant of hypsarrhythmia. Patient 5: The background is chaotic and asynchronous with random high voltage slow waves and spikes suggestive of classical hypsarrhythmia