Hello, dear colleagues.

I have a patient (6 y. o. boy) with strange clinic manifestations. Almost every day near 11:00 am he begin to act very slowly. The consciousness is not affected, it seems that everything is normal with him, but he talks and acts very slowly. It looks like he is drunk, but of course he isn't. And it seems that he himself doesn't recogniza his strange state. After 40 — 60 minutes he abruptly returns to his usual behaviour. Really quick and abruptly: at 11:59 he is slow and at 12:00 he is normal.

What could it be? Something connected with some circadian hormone level? Something neurological? Arterial blood pressure?

Thanks for any ideas.

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