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Wide gait problems, 10 year old - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Average Posted in: Growth and Development in Children
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3390 Questions
User :   My 10 Year old son has been sent for an MRI and I do not know why, he is perfectly healthy except he walks with a wide gait. The Specialist only told me that there might be some brain injury at birth (which I never noticed) Or something he developed when he came down with meningitis. What is he looking for and can it be treated
User :   Hi
User :   hello
User :   my mri is schedualed for 4 weeks away and im going crazy
User :   ur mri\
User :   or ur son MRI
User :   what part of the brain can affect the gait
User :   my sons
User :   Ok
User :   where is ur son now? at home or hospital?
User :   Is he healthy now or sick?
User :   healthy in bed asleep at home
User :   when was ur last visit wirh pediatrician
User :   yesterday
User :   and have no answers
User :   so yesterday he advised the MRI
User :   Y/N
User :   can you please talk to me about cerebral lesions
User :   yes
User :   I need to understand the situation
User :   so when u went to clinic yesterday, he want to do MRI?
User :   yes
User :   And he said he want to know the reason for wide gait
User :   Is that right?
User :   yes
User :   Are there any other growth defects
User :   Are there any other growth abnomalities
User :   It seems you have moved out of the chat window. Please log in back if you have medical queries
User :   there are no other growth defects or abnomalities
Doctor :   Ok.
Doctor :   Gait is mainly controlled by cerebellum.
Doctor :   It is the main part.
User :   can this be treated
Doctor :   There are different type of gaits like scissoring , waddling , etc.
Doctor :   which controls voluntary activities of limbs.
Doctor :   Scissoring gait is seen in cerebral palcy.
User :   can it be reversed
Doctor :   Do you think your baby;'s milestones were delayed ?
User :   not t all
Doctor :   More than an MRI Scan, I would advise an EEG of brain.
Doctor :   which would be more help ful.
Doctor :   To study brain impulses.
Doctor :   And EMG of teh affected limbs, if at all affected.
User :   do u think what he has is degenerative
Doctor :   Parkinsonism is an example of degenerative disorders which is i can tell you almost zero at this age and more common in old age where you see Stammering gait.
User :   great, that is a start
Doctor :   I would advise you with the following steps : User :   can lesions in this area of the brain be treated
Doctor :   1. Usually if it is due to birth hypoxia or any other nuclear or higher center it is very dificult.
Doctor :   But if it is peripheral nerves then there is considerable amount of traetments which can help : Doctor :   Like Physio-electric stimulation.
Doctor :   Nerve regeneration in children is very good.Wallerian regeneration.
Doctor :   or otherwise nerve implants from intercoastal nerves are taken to innervate a specific muscle if its roots or axons are damaged.
Doctor :   In which part of the world , do you stay as Polio is common in asia and africa.
User :   im in australia, we do not have that here
Doctor :   Yeah , in australia it is extremely rare.
User :   could he have sustained nerve or cerebral damage from meningitis
Doctor :   Are you sure he had meningitis in the past ?
User :   when he was 3
Doctor :   Meningitis can cause infection to cerebrum or cerebellum.
Doctor :   But hw are his intellect and other IQ levels ./
User :   he is very smart, was just nominated for a gifted children program
User :   does this ruke anything out?
User :   rule*
Doctor :   Yes, his higher cerebral functions were not affected.
Doctor :   So , I would say do not worry.
Doctor :   He would be fine.
Doctor :   After some physical training
Doctor :   if at all he has some gait problem.
User :   wow, i might jump through this computer and kiss you right now!
User :   I have had no sleep
User :   i can cope with gait problems
Doctor :   That would help the child in 1-3 yrs time.
Doctor :   Thank you and wishing your child all the very best.
User :   thank you xx
Doctor :   Take care, and dont forget to get the other tests that I advised .
Doctor :   Bye for now.
Doctor :   Do you want to ask anything else ?
Doctor :   Bye for now.
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