Transient dystonic toe-walking: differentiation from cerebral palsy and a rare explanation for some unexplained cases of idiopathic toe-walking

Details

Serval ID
serval:BIB_4BDB160BC350
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Transient dystonic toe-walking: differentiation from cerebral palsy and a rare explanation for some unexplained cases of idiopathic toe-walking
Journal
Developmental Medicine and Child Neurology
Author(s)
Newman  C. J., Ziegler  A. L., Jeannet  P. Y., Roulet-Perez  E., Deonna  T. W.
ISSN
0012-1622 (Print)
Publication state
Published
Issued date
02/2006
Volume
48
Number
2
Pages
96-102
Notes
Case Reports
Journal Article
Research Support, Non-U.S. Gov't --- Old month value: Feb
Abstract
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.
Keywords
Adolescent Age of Onset Cerebral Palsy/*diagnosis Child Child Development Child, Preschool Diagnosis, Differential Dystonia/*diagnosis/*etiology Female Follow-Up Studies Foot Gait Disorders, Neurologic/*diagnosis/*etiology Humans Infant Male Posture Remission, Spontaneous Walking
Pubmed
Web of science
Open Access
Yes
Create date
25/01/2008 10:26
Last modification date
20/08/2019 14:00
Usage data