Abstract
The differential diagnosis in a child with a gait disturbance includes both neurological and non-neurological disorders. The primary care provider must differentiate potential neurological causes such a peripheral neuropathy, myopathy/muscular dystrophy, tethered cord, and disorders of the cerebellum from orthopedic disorders such as a septic joint. A thorough history and physical examination that focuses on the nature of gait abnormality can guide the provider toward appropriate investigations.
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References
Sawyer J, Kapoor M. The limping child: a systemic approach to diagnosis. Am Fam Physician. 2009;79(3):215–24.
Zitelli B, McIntire S, Nowalk A. Atlas of pediatric physical diagnosis. 6th ed. Philadelpha, PA: Saunders Elsevier; 2012.
Kliegman RM, Behrman RE, Jenson HB, Stanton BF. Nelson textbook of pediatrics. 18th ed. Philadelphia, PA: Saunders Elsevier; 2007.
Foster H, Drummond P, Jandial S. Assessment of gait disorders in children. BMJ Best Practice. BMJ Publishing Group Ltd (BMJ). https://bestpractice.bmj.com/topics/en-gb/709. Reviewed April 16, 2021. Accessed April 28, 2021.
Fenichel DGM. Clinical pediatric neurology: a signs and symptoms approach. 7th ed. Philadelphia, PA: Saunders Elsevier; 2013.
Yeshokumar A. Gait disturbance as the presenting symptom in young children with anti-NMDA receptor encephalitis. Pediatrics. 2016;138(3):e20160901. Epub 2016 Aug 16
Griffin LY. Essentials of musculoskeletal care. 3rd ed. Rosemont, IL: The American Academy of Orthopedic Surgeons; 2005.
Menkes J, Sarnat H, Maria B. Child neurology. 7th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2006.
Darras B, Jones R, Ryan M, Devivo D. Neuromuscular disorders of infancy, childhood and adolescence: a clinician’s approach. 2nd ed. San Diego, CA: Academic Press; 2015.
Willacy H. Gait abnormalities in children. https://patient.info/doctor/gait-abnormalities-in-children#ref-1. Edited September 3, 2019. Accessed April 28, 2021.
Garbash M, et al. An unusual cause of limp. BMJ Case Reports. 2012. Published online April 4, 2012.
Stirnemann J, et al. A review of Gaucher disease pathophysiology, clinical presentation and treatments. Int J Mol Sci. 2017;18(2):441.
Foster HE, Jandial S. pGALS—paediatric gait arms legs and spine: a simple examination of the musculoskeletal system. Pediatr Rheumatol. 2013;11:44. https://doi.org/10.1186/1546-0096-11-44.
Kennedy R, Carroll K, McGinley J, Paterson K. Walking and weakness in children: a narrative review of gait and functional ambulation in paediatric neuromuscular disease. J Foot Ankle Res. 2020;13(10)
Shah A, Indra S, Kannikeshwaran N, et al. Diagnostic approach to limp in children. Pediatr Ann. 2015;44(12):548–50, 552–554, 556.
Rethlefsen S, Blumstein G, Kay R, Dorey F, Wren T. Prevalence of specific gait abnormalities in children with cerebral palsy revisited: influence of age, prior surgery, and gross motor function classification system level. Dev Med Child Neurol. 2017;59:79–88.
Nonnekes J, et al. Functional gait disorders: a sign based approach. Neurology. 2020;94:1093–9.
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Harper-Shankie, M., Little, H. (2022). Child with Gait Disturbances. In: Kamat, D.M., Sivaswamy, L. (eds) Symptom-Based Approach to Pediatric Neurology . Springer, Cham. https://doi.org/10.1007/978-3-031-10494-7_27
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DOI: https://doi.org/10.1007/978-3-031-10494-7_27
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