Acute onset Weakness of Lower limb (Proximal muscles weakness)

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. Chintalapudi Ravi Kiran
Paediatrician

It could be Gullian Barr syndrome

17.Aug, 06:09pm

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.

17.Aug, 06:22pm

Dr. Agatha Nzou Mwia
General Practitioner

Could also be poliomyelitis

17.Aug, 06:28pm

Dr. Diana T
Paediatrician

Could be Anterior Horn Cell disease - Poliomyelitis & also ADEM

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?

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


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.

26.Aug, 02:05pm

Dr. Benedit Regi Jerald
Paediatrician

Transverse myelitis

04.Oct, 06:35pm

Dr. Jalal Uddin
Family Physician

Multiple sclerosis
Transverse myelitis

28.Oct, 03:36am

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