- CConnexion
RééDOC
75 Boulevard Lobau 54042 NANCY cedex Christelle Grandidier Documentaliste 03 83 52 67 64 0
|
Transient dystonic toe-walking : differentiation from cerebral palsy and a rare explanation for some unexplained cases of idiopathic toe-walking
NEWMAN C; ZIEGLER AL; JEANNET PY; ROULETPEREZ E; DEONNA TW
DEV MED CHILD NEUROL , 2006, vol. 48, n° 2, p. 96-102 Doc n°: 123926 Localisation : Documentation IRR Descripteurs : AJ23 - PARALYSIE CEREBRALE, DF22 - EXPLORATION EXAMENS BILANS - MARCHE, DF232 -TROUBLES DE LA MARCHE DANS LA PARALYSIE CEREBRALE We report on seven children (five males, two females) who presented with marked, often asymmetrical, toe-walking from onset of independent walking, associated with abnormal foot postures and increased tone at the ankles with characteristics of dystonia. Most of the children had presented with unusual pre-walking locomotion and a mild delay in independent walking. They did not fit into the usual categories of 'habitual' toe-walking or congenital short tendo calcaneus but nor did they have the clinical signs of spastic diplegia or of a peripheral neuromuscular disease. Normalization occurred progressively in the second to fourth years of life. The children were re-examined several years later (1 to 11y) and were normal. We believe that their persistent toe-walking corresponded to a variant of 'transient focal dystonia of infancy'. Knowledge of its existence may justify a period of observation without special investigations, surgery, or casting. Langue : ANGLAIS |
0
|