Pseudo-ataxia due to Osteoid Osteoma.
BACKGROUND: Ataxia is diagnosed by typical features on examination suggestive of a cerebellar etiology and can invoke extensive diagnostic testing. Osteoid osteomas (OOs) are benign bone tumors of the lower limbs that occasionally present with focal neurological signs.
CASE REPORT: A 3-year-old male presented with apparent progressive gait ataxia and non-specific leg pain. Initial imaging was unremarkable. However, 12 months later, a lesion was identified in the distal right femur, which was found to be an OO. The gait disorder and pain resolved after surgery.
DISCUSSION: This case highlights the challenges of diagnosing a gait disorder in young children.
Published In/Presented At
McKenzie, J., Oettel-Flaherty, C., Noel, D., Walker, R. H., & Sobering, A. K. (2019). Pseudo-ataxia due to Osteoid Osteoma. Tremor and other hyperkinetic movements (New York, N.Y.), 9, 631. https://doi.org/10.7916/vt1n-ga19
Medicine and Health Sciences
Department of Emergency Medicine, Department of Emergency Medicine Residents