The provided article text is too brief, containing only the title and publication details (New England Journal of Medicine, Volume 395, Issue 12, Pages 1219-1227, September 24, 2026). It does not contain enough factual information about the case itself to create a 6-8 sentence summary regarding the symptoms, diagnosis, treatment, or prognosis of the 4-year-old boy experiencing fatigue, imbalance, and frequent falls. Therefore, a detailed summary cannot be generated as requested.