4th Pediatric Infectious Diseases Conference
 
 
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Neurological problems
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Specialist Answers
Question
A seven year old girl child born of consanguineous parents was brought with complains of difficulty in walking and frequently falls. she started walking at 1 year of age and later use to fall while walking. The severity of falling has increased over 4 years, now she complains of frequent falls and achieved toe walking as compensation to prevent falling down. Mother has noticed that toe walking has increased recently. no history of seizures. Her mental development is normal on examination lower limb reflexes are exaggerated with clonus and also lower limbs are showing spasticity and on walking there is toe walking reports awaited. Please suggest possible differential diagnosis thanking you.
Answer
Rule out hydrocephalus and white matter disease. Also cervical spine abnormality should be ruled out. An MRI brain and spine may be needed.
 
 
 
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