Pseudo-ataxia due to Osteoid Osteoma

McKenzie, Juanette; Oettel-Flaherty, Curtis; Noel, Douglas; Walker, Ruth H.; Sobering, Andrew K.

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.

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Tremor and Other Hyperkinetic Movements

More About This Work

Academic Units
Center for Parkinson's Disease and Other Movement Disorders
Published Here
February 19, 2019