Ataxia (peds) - Revision history

Ostermayer at 17:31, 17 January 2026

2026-01-17T17:31:09Z

← Older revision		Revision as of 17:31, 17 January 2026
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	{{~~Peds top~~}} ~~[[ataxia]]~~		{{PediatricPage\|ataxia}}
	==Background==		==Background==
	*Any disturbance in coordination of movement		*Any disturbance in coordination of movement

Rossdonaldson1 at 22:50, 28 November 2019

2019-11-28T22:50:48Z

Rossdonaldson1 at 22:50, 28 November 2019

2019-11-28T22:50:08Z

← Older revision		Revision as of 22:50, 28 November 2019
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	~~''For adult patients see~~ [[ataxia]]''		{{Peds top}} [[ataxia]]
	==Background==		==Background==
	*any disturbance in coordination of movement		*any disturbance in coordination of movement

ClaireLewis: /* Clinical Features */

2019-10-01T23:53:09Z

Clinical Features

← Older revision		Revision as of 23:53, 1 October 2019
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	*drug ingestion: [[altered mental status]], eye findings ([[nystagmus]])		*drug ingestion: [[altered mental status]], eye findings ([[nystagmus]])
	*[[intracranial mass]]: [[headache]], [[vomiting]], gradual onset, [[blurred vision\|visual changes]], [[papilledema]], [[focal neuro deficits]]		*[[intracranial mass]]: [[headache]], [[vomiting]], gradual onset, [[blurred vision\|visual changes]], [[papilledema]], [[focal neuro deficits]]
	*[[Meningitis]]/[[Encephalitis]] [[fever]], meningismus, bulging fontanelle, rash, altered mental status, [[seizure]]		*[[Meningitis]]/[[Encephalitis]] [[fever]], meningismus, [[bulging fontanelle]], [[rash]], [[altered mental status (peds)\|altered mental status]], [[seizure (peds)\|seizure]]

	==Differential Diagnosis==		==Differential Diagnosis==

ClaireLewis: /* Evaluation */

2019-10-01T23:34:16Z

Evaluation

← Older revision		Revision as of 23:34, 1 October 2019
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	*[[Utox\|tox screen]], alcohol level		*[[Utox\|tox screen]], alcohol level
	*fingerstick glucose		*fingerstick glucose
	*drug levels as indicated (ex. [[antiepileptic]] level if possible ingestion)		*drug levels as indicated (ex. [[anticonvulsants\|antiepileptic]] level if possible ingestion)
	*[[Head CT]] if concern for trauma or mass lesion		*[[Head CT]] if concern for trauma or mass lesion
	*[[Lumbar Puncture]] in most cases unless etiology is known		*[[Lumbar Puncture]] in most cases unless etiology is known

ClaireLewis at 23:33, 1 October 2019

2019-10-01T23:33:43Z

← Older revision		Revision as of 23:33, 1 October 2019
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	**Intoxications with diminished alertness		**Intoxications with diminished alertness
	***[[Ethanol]]		***[[Ethanol]]
	***[[Sedative~~-hypnotics~~]]		***[[Sedative/hypnotic toxicity]]
	***[[Toxic alcohols]]		***[[Toxic alcohols]]
	***[[GHB]]		***[[GHB]]
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	***[[Heavy metal toxicity\|Lead, organic mercurials]]		***[[Heavy metal toxicity\|Lead, organic mercurials]]
	***[[Carbon monoxide]]		***[[Carbon monoxide]]
	***[[Acute radiation ~~sickness~~]]		***[[Acute radiation syndrome]]
	***[[Lithium toxicity]]		***[[Lithium toxicity]]
	***[[Mushroom toxicity]]		***[[Mushroom toxicity]]
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	**Conditions affecting predominantly the peripheral nervous system		**Conditions affecting predominantly the peripheral nervous system
	***Peripheral neuropathy		***Peripheral neuropathy
	***Vestibulopathy (e.g. [[vestibular neuritis]], [[~~labrynthitis~~]])		***Vestibulopathy (e.g. [[vestibular neuritis]], [[labyrinthitis]])
	***[[Guillain ~~barre~~]]		***[[Guillain-Barre]]
	**Miscellaneous		**Miscellaneous
	***[[Acute mountain sickness]]		***[[Acute mountain sickness]]
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	[[Category:Pediatrics]]		[[Category:Pediatrics]]
	[[Category:Neurology]]		[[Category:Neurology]]
			[[Category:Symptoms]]

ClaireLewis at 23:31, 1 October 2019

2019-10-01T23:31:28Z

← Older revision		Revision as of 23:31, 1 October 2019
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	*unsteady gait in all cases		*unsteady gait in all cases
	*postinfectious cerebellitis: 1-3 weeks post [[URI]] like illness or immunization, truncal ataxia and gait instability, normal mental status, normal vitals, ONLY ataxia		*postinfectious cerebellitis: 1-3 weeks post [[URI]] like illness or immunization, truncal ataxia and gait instability, normal mental status, normal vitals, ONLY ataxia
	*[[Guillain Barre]] extremity ataxia more than truncal ataxia, areflexia or hyporeflexia, respiratory failure possible		*[[Guillain Barre]] extremity ataxia more than truncal ataxia, areflexia or hyporeflexia, [[respiratory failure]] possible
	*drug ingestion: [[altered mental status]], eye findings (nystagmus)		*drug ingestion: [[altered mental status]], eye findings ([[nystagmus]])
	*intracranial mass: [[headache]], [[vomiting]], gradual onset, visual changes, papilledema, focal neuro deficits		*[[intracranial mass]]: [[headache]], [[vomiting]], gradual onset, [[blurred vision\|visual changes]], [[papilledema]], [[focal neuro deficits]]
	*[[Meningitis]]/[[Encephalitis]] [[fever]], meningismus, bulging fontanelle, rash, altered mental status, [[seizure]]		*[[Meningitis]]/[[Encephalitis]] [[fever]], meningismus, bulging fontanelle, rash, altered mental status, [[seizure]]

	==Differential Diagnosis==		==Differential Diagnosis==
	*~~Postinfectious cerebellitis (acute cerebellar ataxia)~~		*Systemic conditions
	*~~Drug ingestion/ toxin exposure (~~[[~~antiepileptics~~]], [[~~antihistamines~~]], [[~~benzos~~]], [[~~alcohol~~]], [[~~dextromethorphan~~ toxicity\|~~dextromethorphan~~]], ~~others)~~		**Intoxications with diminished alertness
	*[[~~Guillain Barre~~]] syndrome		***[[Ethanol]]
	*[[~~Hypoglycemia~~]]		***[[Sedative-hypnotics]]
	*~~Post vaccination~~ ([[~~varicella~~]])		***[[Toxic alcohols]]
	*[[~~Encephalitis~~]]/[[~~meningitis~~]]		***[[GHB]]
	*[[~~Intracranial mass~~]] ~~lesion~~		***[[Benzodiazepine toxicity]]
	*[[~~Hydrocephalus~~]]		***[[TCA toxicity]]
	*[[~~Intracranial Bleed~~]]		***[[Antipsychotic toxicity]]
	*[[~~Stroke~~]]		***[[Inhalant abuse]], [[hydrocarbon toxicity]]
	*~~Vertebrobasilar dissection~~		***[[Pentobarbital]]
	*[[~~migraine~~]]		***[[Chloral hydrate toxicity]]
	*[[~~Vasculitis~~]]		***[[Marijuana toxicity]]
	*[[Paraneoplastic syndromes]]		***[[Phencyclidine toxicity]]
	*[[Epilepsy]]		**Intoxications with relatively preserved alertness
			***[[phenytoin toxicity\|Phenytoin]], [[fosphenytoin]], [[Keppra]]
			***[[Carbamazepine toxicity\|Carbamazepine]], [[oxcarbazepine]]
			***[[Valproic acid toxicity\|Valproic acid]]
			***[[Heavy metal toxicity\|Lead, organic mercurials]]
			***[[Carbon monoxide]]
			***[[Acute radiation sickness]]
			***[[Lithium toxicity]]
			***[[Mushroom toxicity]]
			***[[Lacosamide]]
			***[[Arsenic toxicity]]
			***[[Gabapentin]]
			***[[Marijuana toxicity]]
			***[[Phencyclidine toxicity]]
			***[[Lindane]]
			***[[Vitamin A toxicity]]
			**Other metabolic disorders
			***[[Hyponatremia]]
			***[[Hypernatremia]]
			***[[Hypomagnesemia]]
			***[[Inborn errors of metabolism]]
			***[[Wernicke disease]]
			***[[Vitamin B7 deficiency]]
			***[[Vitamin E deficiency]]
			*Disorders predominantly of the nervous system
			**Conditions affecting predominantly one region of the CNS
			***[[ICH\|Hemorrhage]], [[vertebral and carotid artery dissection]]
			***[[Stroke\|Infarction]]
			***[[Lateral medullary syndrome]]
			****Degenerative changes
			***[[Brain abscess\|Abscess]]
			***[[Brain tumor]]
			***[[Head trauma]]
			***[[Hydrocephalus]], [[normal pressure hydrocephalus]], [[VP shunt malfunction]]
			***[[Parkinson's disease]]
			***[[Prion disease]]
			***[[Heat stroke]]
			***[[Leukostasis and hyperleukocytosis]]
			***Cervical spondylosis
			***[[spinal cord injury\|Posterior column disorders]]
			**Conditions affecting predominantly the peripheral nervous system
			***Peripheral neuropathy
			***Vestibulopathy (e.g. [[vestibular neuritis]], [[labrynthitis]])
			***[[Guillain barre]]
			**Miscellaneous
			***[[Acute mountain sickness]]
			***[[Syphilis]]
			***[[Tick paralysis]]
			***[[Ciguatera]], [[neurotoxic shellfish poisoning]]
			***[[African trypanosomiasis]]
			***[[Tympanic membrane rupture]]
			***[[Legionella]]
			***[[Paraneoplastic syndromes]]
			****Postinfectious cerebellitis (acute cerebellar ataxia)
			***Post vaccination ([[varicella]])
			***[[Vasculitis]]
			***[[Epilepsy]]

	==Evaluation==		==Evaluation==
	*~~exam~~		*[[Utox\|tox screen]], alcohol level
	*tox screen, alcohol level
	*fingerstick glucose		*fingerstick glucose
	*drug levels as indicated (ex. antiepileptic level if possible ingestion)		*drug levels as indicated (ex. [[antiepileptic]] level if possible ingestion)
	*[[Head CT]] if concern for trauma or mass lesion		*[[Head CT]] if concern for trauma or mass lesion
	*[[Lumbar Puncture]] in most cases unless etiology is known		*[[Lumbar Puncture]] in most cases unless etiology is known
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	*[[Guillain Barre]] admit for IVIG, observation of respiratory status		*[[Guillain Barre]] admit for IVIG, observation of respiratory status
	*[[Meningitis]]/[[Encephalitis]] admit, IV antibiotic, see meningitis section		*[[Meningitis]]/[[Encephalitis]] admit, IV antibiotic, see meningitis section
	*intracranial mass: neurosurgery consultation		*[[intracranial mass]]: neurosurgery consultation

	==Disposition==		==Disposition==

Rossdonaldson1 at 06:08, 2 April 2019

2019-04-02T06:08:35Z

← Older revision		Revision as of 06:08, 2 April 2019
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			''For adult patients see [[ataxia]]''
	==Background==		==Background==
	*any disturbance in coordination of movement		*any disturbance in coordination of movement

Rossdonaldson1: Text replacement - " wks " to " weeks "

2019-03-30T15:04:24Z

Text replacement - " wks " to " weeks "

← Older revision		Revision as of 15:04, 30 March 2019
Line 7:		Line 7:
	==Clinical Features==		==Clinical Features==
	*unsteady gait in all cases		*unsteady gait in all cases
	*postinfectious cerebellitis: 1-3 ~~wks~~ post [[URI]] like illness or immunization, truncal ataxia and gait instability, normal mental status, normal vitals, ONLY ataxia		*postinfectious cerebellitis: 1-3 weeks post [[URI]] like illness or immunization, truncal ataxia and gait instability, normal mental status, normal vitals, ONLY ataxia
	*[[Guillain Barre]] extremity ataxia more than truncal ataxia, areflexia or hyporeflexia, respiratory failure possible		*[[Guillain Barre]] extremity ataxia more than truncal ataxia, areflexia or hyporeflexia, respiratory failure possible
	*drug ingestion: [[altered mental status]], eye findings (nystagmus)		*drug ingestion: [[altered mental status]], eye findings (nystagmus)

ClaireLewis: /* Differential Diagnosis */

2019-01-27T01:36:32Z

Differential Diagnosis

← Older revision		Revision as of 01:36, 27 January 2019
Line 14:		Line 14:

	==Differential Diagnosis==		==Differential Diagnosis==
	*~~postinfectious~~ cerebellitis (acute cerebellar ataxia)		*Postinfectious cerebellitis (acute cerebellar ataxia)
	*~~drug~~ ingestion/ toxin exposure ([[antiepileptics]], [[antihistamines]], [[benzos]], [[alcohol]], dextromethorphan, others)		*Drug ingestion/ toxin exposure ([[antiepileptics]], [[antihistamines]], [[benzos]], [[alcohol]], [[dextromethorphan toxicity\|dextromethorphan]], others)
	*[[Guillain Barre]] syndrome		*[[Guillain Barre]] syndrome
	*[[Hypoglycemia]]		*[[Hypoglycemia]]
	*~~post~~ vaccination (varicella)		*Post vaccination ([[varicella]])
	*[[Encephalitis]]/[[~~Meningitis~~]]		*[[Encephalitis]]/[[meningitis]]
	*~~intracranial~~ mass lesion		*[[Intracranial mass]] lesion
	*[[~~hydrocephalus~~]]		*[[Hydrocephalus]]
	*[[Intracranial Bleed]]		*[[Intracranial Bleed]]
	*[[Stroke]]		*[[Stroke]]
	*~~vertebrobasilar~~ dissection		*Vertebrobasilar dissection
	*[[migraine]]		*[[migraine]]
	*~~vasculitis~~		*[[Vasculitis]]
	*~~paraneoplastic syndrome~~		*[[Paraneoplastic syndromes]]
	*[[~~epilepsy~~]]		*[[Epilepsy]]

	==Evaluation==		==Evaluation==