#MedicalCase

Toddler With Weak Lower Limbs (Paediatrics)

Dr. Mohammed Wajid., PHYSIOTHERAPY

 

Medical Case Details:

1.5 years (18 months) old baby unable to stand from sitting position. But, the kid can walk and run but unable to jump or climb. Both legs are like soft cotton without any strength. All the blood samples are normal. What will be the suitable treatment?

 


    Discussions


    Dr. Manu Bharadwaj

    Thats unusual. If it was any of the muscular dystrophies, then the child should’nt be able to walk and run as well.
    Whatever the diagnosis may be, I feel the way to go forward is muscle biopsy and MRI brain and spine. Baby may require GA for both. So may be both can be planned on the same day. An opinion from a Pediatric neurologist/Neurologist might also help.

    ▲ 2
    27.Jun, 06:07pm

    Dr. Manu Bharadwaj

    Thats unusual. If it was any of the muscular dystrophies, then the child should’nt be able to walk and run as well.
    Whatever the diagnosis may be, I feel the way to go forward is muscle biopsy and MRI brain and spine. Baby may require GA for both. So may be both can be planned on the same day. An opinion from a Pediatric neurologist/Neurologist might also help.

    27.Jun, 06:07pm

    Dr. Mohammed Wajid
    Physiotherapist

    Sir done with MRI of spine and brain, its completely normal, its very rare case.
    I am trying some activities from past one month, just a 1% improvement in lower muscles.


    27.Jun, 06:11pm

    Dr. Manu Bharadwaj

    Then I think you should go ahead with Vastus Lateralis Muscle Biopsy.

    27.Jun, 06:14pm

    Dr. Mohammed Wajid
    Physiotherapist

    Ok sir
    thanks for your valuable suggestion.

    27.Jun, 06:15pm

    Dr. Prakash Nagar

    Please share detailed neurological examination findings of lower limbs- DTR, tone, power, gait , lumbo-sacral spine findings including x-ray, etc.
    Running need flexing of thigh against gravity so a power of above 3.
    How much is CK & LDH.
    This may require a muscle biopsy.
    sharing a short clipping of walking & running will narrow down the d/d.

    27.Jun, 06:31pm

    Dr. Prakash Nagar

    Please share detailed neurological examination findings of lower limbs- DTR, tone, power, gait , lumbo-sacral spine findings including x-ray, etc.
    Running need flexing of thigh against gravity so a power of above 3.
    How much is CK & LDH.
    This may require a muscle biopsy.
    sharing a short clipping of walking & running will narrow down the d/d.

    ▲ 1
    27.Jun, 06:31pm



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