#MedicalCase
Acute onset Weakness of Lower limb (Proximal muscles weakness) (Pediatrics)
Dr. Bhaisara Baraturam Bhagrati., MBBS, MD PEDIATRICS
Medical Case Details:
A 9-year-old boy visited my clinic with a history of lower limb weakness. The weakness has been present since 10 days with associated pain.CPK and DMD Negative. What is the probable diagnosis?
Discussions
Dr. Bhaisara Baraturam Bhagrati
Paediatrician
Yes,But only strenge thing is ,there is no prior history of cough ,cold or fever.No sensory involvement.DTR well preserved.
Paediatrician
Yes,But only strenge thing is ,there is no prior history of cough ,cold or fever.No sensory involvement.DTR well preserved.
17.Aug, 06:22pm
Dr. Diana T
Paediatrician
Could be Anterior Horn Cell disease - Poliomyelitis & also ADEM
Paediatrician
Could be Anterior Horn Cell disease - Poliomyelitis & also ADEM
▲ 1
17.Aug, 11:50pm
Dr. Anuj Gupta
Spine Surgeon
GBS usually starts from distal and then progress proximally. polio is a very rare condition now a days but still possible. proximal muscle myopathy could be because of many reasons. get his vitamin D . ask for any steroid intake. what is the condition in these 10 days. is it improving, same or deteriorating?
Spine Surgeon
GBS usually starts from distal and then progress proximally. polio is a very rare condition now a days but still possible. proximal muscle myopathy could be because of many reasons. get his vitamin D . ask for any steroid intake. what is the condition in these 10 days. is it improving, same or deteriorating?
▲ 2
19.Aug, 09:20pm
Dr. Tuncay Gündüz
Neurologist
Differential diagnosis includes,
1- spinal cord pathologies; transverse myelitis, infectious myelitis, spinal cord compressive pathologies.
2- multiple sclerosis
3-polyradiculoneuropathies, GBS, infectious radiculopathies
Neurologist
Differential diagnosis includes,
1- spinal cord pathologies; transverse myelitis, infectious myelitis, spinal cord compressive pathologies.
2- multiple sclerosis
3-polyradiculoneuropathies, GBS, infectious radiculopathies
26.Aug, 10:51am
Dr. S. Riaz Ahmed
Neurologist
Need much explanation of the weakness- eg proximal vs distal, gait, co-ordination and ataxia, Romberg sign, Gower sign , disability score , climbing stairs, walking tip-toe, pain etc. You said pain?? where exactly is it. Is he limping with pain? Anton's gait? Is it hip problem ? inflammatory markers. Doesn't give a clue of LMN or even UMN if pain is jeopardizing his disability and to rule out joint problems or bones.
Neurologist
Need much explanation of the weakness- eg proximal vs distal, gait, co-ordination and ataxia, Romberg sign, Gower sign , disability score , climbing stairs, walking tip-toe, pain etc. You said pain?? where exactly is it. Is he limping with pain? Anton's gait? Is it hip problem ? inflammatory markers. Doesn't give a clue of LMN or even UMN if pain is jeopardizing his disability and to rule out joint problems or bones.
▲ 2
26.Aug, 02:05pm
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