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Patient's Query
Hello doctor,
My 16-month-old presents with intermittent limb weakness, hemiplegia, gait disorder, dysphagia, intermittent ataxia, brisk reflexes, seizures, and intermittent hypotonia. There are sudden bouts of alternating limb paralysis. There is sudden difficulty with balance and walking with falls every few steps. The baby is seemingly dizzy. There is dysphagia with no etiology. There is a paroxysmal tonic upgaze. The doctor has prescribed Diamox for ataxia today. The baby has a normal CBC, CMP, and CSF. I also have attached the spinal and brain MRI images here. I need a second opinion.
Hello,
Welcome to icliniq.com.
I have gone through the images which you have sent (attachment removed to protect patient identity).
Regards.
For more information consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist
Patient's Query
Thank you doctor,
The doctors mentioned there was hydromyelia, but are convinced that it is not causing his symptoms. They said his ataxia is a suspect for episodic ataxia. So, they are putting in a request for the genetic panel to confirm. The next suspected diagnosis on the list is an opsoclonus-myoclonus-ataxia syndrome. So, we are watching for eye movements. Is there any chance that the syrinx or the hydromyelia could be a neuroblastoma or anything else? How would you suggest confirming? Is there any treatment?
Hello,
Welcome back to icliniq.com.
Regards.
For more information consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist
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