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Unsteadiness


Pregunta

I am the caregiver of a man with CdLS. Could anything with CdLS affect balance, or cause unsteadiness? Currently, he is on Risperdal, Doxepian, as well as several sinus and stomach medicines. He has had a CAT scan and a hip x-ray with no results.

Respuesta de nuestros expertos

There are a number of causes of ataxia, or unsteady gait. I am assuming, based on your question, that his ataxia is of acute (sudden) onset. Infectious causes could include a brain abscess (particularly in the cerebellum) or an entity known as labyrinthitis, involving a severe middle ear infection affecting the nerve (the ataxia is accompanied by vomiting and intense vertigo or dizziness). Both of which require antibiotics. There is also an infectious entity known as acute cerebellar ataxia, which involves severe unsteadiness following a viral illness, with vomiting (initially), eye changes (nystagmus) and difficulty with speech.



This may last up to two months but is self-limited and has a good prognosis. Brain tumors can present with ataxia, but should show up on a brain CT scan or MRI. There are genetic causes of ataxia but these would be very unlikely, given that he has CdLS. Finally, medications may cause ataxia, even common cold medications. You may want to discuss this with your pharmacist.



TK 7-13-10

La respuesta se comprueba y es válida para
us

Recomendación (es)

su capacidad para moverse y manipular su entorno

R16
Los hitos (avances) de desarrollo psicomotor deben valorarse cuidadosamente.

Recomendación (es)

El sistema nervioso autónomo

R47
Las convulsiones en pacientes con SCdL deben tratarse utilizando los esquemas generales de tratamiento de la epilepsia.
R48
Solo se debe considerar la posibilidad de una resonancia magnética cerebral en el caso de que un paciente con SCdL muestre signos neurológicos aparte de una microcefalia (cabeza más pequeña de lo normal).

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