A High Court judge has ruled a seven-year-old boy should have radiotherapy treatment for cancer against his mother's wishes.
Sally Roberts, 37, has argued radiotherapy will cause her son Neon long-term harm, and she has been locked in a court battle for alternative treatment.
Doctors have said Neon could die within months if he does not get the radiotherapy.
Mr Justice Bodey, who has heard arguments about the pros and cons of radiotherapy at the High Court in London, said radiotherapy treatment could start.
"The mother has been through a terrible time. This sort of thing is every parent's nightmare," said the judge.
"But I am worried that her judgement has gone awry on the question of the seriousness of the threat which Neon faces."
Ms Roberts, a New Zealander who lives in Brighton, East Sussex, had told the court she was not a "bonkers mother" and insisted on alternative treatment.
She said she feared radiotherapy would reduce Neon's IQ, shorten his life, put him at risk of having strokes and make him infertile.
Neon's father Ben, who lives in London and is separated from Ms Roberts, had agreed to radiotherapy but was "apprehensive", the court heard.
The judge praised the dedication of the paediatric oncologist who has been following Neon, and who has only been identified as Dr A for legal reasons, and said he fully accepted the evidence provided by the doctor.
"The alternative treatment sought by the mother would at least have to meet the 85% success rate of the existing radio/chemotherapy treatment," the judge said.
He also said Neon was to reside with his father for the duration of the cancer treatment.
The boy has undergone two operations on his brain, including a seven-hour procedure on Wednesday to remove a "residual tumour".
The court was told that operation had gone well.
Ms Roberts has declined to comment.
Mr Roberts' solicitor, Gwen Williams, said her client was "relieved" that the judge had made a ruling on Neon's treatment.
"He now hopes that Neon can be allowed to recover from his latest operation and start the radiotherapy and chemotherapy that the doctors have outlined without any further delay," said Ms Williams.
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