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Toddler With Weak Lower Limbs

Dr. Mohammed Wajid., DPT, MASTER DIPLOMA IN ACUPUNCTURE
 

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 Chandarashekhara Bharadwaj
Pediatric Surgery

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. Manu Chandarashekhara Bharadwaj
Pediatric Surgery

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
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 Chandarashekhara Bharadwaj
Pediatric Surgery

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

27.Jun, 06:14pm
Mohammed Wajid
Physiotherapist

Ok sir
thanks for your valuable suggestion.

27.Jun, 06:15pm
Dr. Prakash Chandra Girdhar Lal Nagar
Child Health Specialist

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 Chandra Girdhar Lal Nagar
Child Health Specialist

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

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Disclaimer: All medical case discussions published on this website are not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.
 

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Disclaimer: All medical case discussions published on this website are not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. 



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