Children presenting with toe walking: when should concern arise?

Canan Üstün; Deniz Menderes; Pınar Özbudak; Elif Perihan Öncel; Bahadır Konuşkan

Makale detayları

Children presenting with toe walking: when should concern arise?

Yazarlar:

Canan Üstün | Deniz Menderes | Pınar Özbudak | Elif Perihan Öncel | Bahadır Konuşkan

Yayıncı:

Cukurova University

Ana Başlıklar:

Çocuk Nörolojisi

Dergi:

Cukurova Medical Journal Vol.49 Issue 3, pp.736-743

Belge Tipi:

Makale

Yayın Tarihi:

9/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001327864

pISSN:

2602-3032

Anahtar kelimeler:

Özet:

 Purpose: This study aimed to evaluate children who present with tiptoe walking TW and to identify potential indicators of underlying medical conditions. Materials and Methods: Out of the 248 patients who visited the Pediatric Neurology Outpatient Clinic for gait disturbances, 90 individuals aged 1-17 years were identified as exhibiting TW. After excluding those with systemic neurological diseases and pervasive developmental disorders PDD, the study ultimately included 47 patients. Results: Among the participants, 19 were female 40.5 and 28 were male 59.5. The mean age of the patients was 4.9 years SD  3.53. When evaluating the etiology of TW, 30 patients 63.8 were found to have idiopathic tiptoe walking ITW, 8 17 had cerebral palsy CP, 6 12.7 had Achilles tendon shortness ATS, 2 4.2 had hereditary spastic paraplegia HSP, and 1 2.1 had syringomyelia. Imaging was not performed for 17 patients 36.1, while cranial magnetic resonance imaging MRI was conducted for 13 27.6, spinal MRI for 2 4.2, and both cranial and spinal MRI for 15 31.9. Pathology was detected in 5 of the patients who underwent imaging 10.6: 4 8.5 showed hypoxic-ischemic processes, and 1 2.1 showed syringomyelia. Conclusion: In cases where patients exhibit normal neurological examinations and neuromotor development, TW is often identified as idiopathic. However, for patients presenting with risk factors in their personal or family history, delays in neuromotor milestones, or abnormal neurological findings, a diagnosis should be pursued at an earlier stage.

 Purpose: This study aimed to evaluate children who present with tiptoe walking TW and to identify potential indicators of underlying medical conditions. Materials and Methods: Out of the 248 patients who visited the Pediatric Neurology Outpatient Clinic for gait disturbances, 90 individuals aged 1-17 years were identified as exhibiting TW. After excluding those with systemic neurological diseases and pervasive developmental disorders PDD, the study ultimately included 47 patients. Results: Among the participants, 19 were female 40.5 and 28 were male 59.5. The mean age of the patients was 4.9 years SD  3.53. When evaluating the etiology of TW, 30 patients 63.8 were found to have idiopathic tiptoe walking ITW, 8 17 had cerebral palsy CP, 6 12.7 had Achilles tendon shortness ATS, 2 4.2 had hereditary spastic paraplegia HSP, and 1 2.1 had syringomyelia. Imaging was not performed for 17 patients 36.1, while cranial magnetic resonance imaging MRI was conducted for 13 27.6, spinal MRI for 2 4.2, and both cranial and spinal MRI for 15 31.9. Pathology was detected in 5 of the patients who underwent imaging 10.6: 4 8.5 showed hypoxic-ischemic processes, and 1 2.1 showed syringomyelia. Conclusion: In cases where patients exhibit normal neurological examinations and neuromotor development, TW is often identified as idiopathic. However, for patients presenting with risk factors in their personal or family history, delays in neuromotor milestones, or abnormal neurological findings, a diagnosis should be pursued at an earlier stage.

 Purpose: This study aimed to evaluate children who present with tiptoe walking TW and to identify potential indicators of underlying medical conditions. Materials and Methods: Out of the 248 patients who visited the Pediatric Neurology Outpatient Clinic for gait disturbances, 90 individuals aged 1-17 years were identified as exhibiting TW. After excluding those with systemic neurological diseases and pervasive developmental disorders PDD, the study ultimately included 47 patients. Results: Among the participants, 19 were female 40.5 and 28 were male 59.5. The mean age of the patients was 4.9 years SD  3.53. When evaluating the etiology of TW, 30 patients 63.8 were found to have idiopathic tiptoe walking ITW, 8 17 had cerebral palsy CP, 6 12.7 had Achilles tendon shortness ATS, 2 4.2 had hereditary spastic paraplegia HSP, and 1 2.1 had syringomyelia. Imaging was not performed for 17 patients 36.1, while cranial magnetic resonance imaging MRI was conducted for 13 27.6, spinal MRI for 2 4.2, and both cranial and spinal MRI for 15 31.9. Pathology was detected in 5 of the patients who underwent imaging 10.6: 4 8.5 showed hypoxic-ischemic processes, and 1 2.1 showed syringomyelia. Conclusion: In cases where patients exhibit normal neurological examinations and neuromotor development, TW is often identified as idiopathic. However, for patients presenting with risk factors in their personal or family history, delays in neuromotor milestones, or abnormal neurological findings, a diagnosis should be pursued at an earlier stage.

 Amaç: Bu çalışmanın amacı parmak ucunda yürüme PUY ile başvuran çocukları değerlendirmek ve altta yatan tıbbi durumların potansiyel göstergelerini belirlemektir. Gereç ve Yöntem: Çocuk Nöroloji Polikliniğine yürüme bozukluğu nedeniyle başvuran 248 hastadan 1-17 yaş arası 90ında parmak ucunda yürüme tespit edildi. Sistemik nörolojik hastalıkları ve yaygın gelişimsel bozuklukları YGB olanlar dışlandıktan sonra, çalışmaya 47 hasta dahil edildi. Bulgular: Hastaların 19u kız 40,5 ve 28i erkekti 59,5. Hastaların ortalama yaşı 4,9 yıldı SD  3,53. PUY etiyolojisi değerlendirildiğinde, 30 hastada 63,8 idiyopatik parmak ucunda yürüme IPUY, 8 hastada 17 serebral palsi SP, 6 hastada 12,7 Aşil tendon kısalığı ATK, 2 hastada 4,2 herediter spastik parapleji HSP ve 1 hastada 2,1 siringomiyeli saptandı. Hastaların 17sine 36,1 görüntüleme yapılmazken, 13üne 27,6 kraniyal manyetik rezonans görüntüleme MRG, 2sine 4,2 spinal MRG ve 15ine 31,9 hem kraniyal hem de spinal MRG yapıldı. Görüntüleme yapılan hastaların 5inde 10,6 patoloji tespit edilmiş olup bunlar; 4ünde 8,5 hipoksik-iskemik süreçler ve 1inde 2,1 siringomiyeli olarak sıralandı. Sonuç: Hastaların nörolojik muayenelerinin ve nöromotor gelişimlerinin normal olduğu durumlarda, TW sıklıkla idiyopatik olarak tanımlanır. Bununla birlikte, kişisel veya aile öyküsünde risk faktörleri, nöromotor kilometre taşlarında gecikmeler veya anormal nörolojik bulgular ile başvuran hastalar için tanı daha erken bir aşamada takip edilmelidir.

Makale detayları

Children presenting with toe walking: when should concern arise?

Yazarlar:

Canan Üstün | Deniz Menderes | Pınar Özbudak | Elif Perihan Öncel | Bahadır Konuşkan

Yayıncı:

Cukurova University

Ana Başlıklar:

Çocuk Nörolojisi

Dergi:

Cukurova Medical Journal Vol.49 Issue 3, pp.736-743

Belge Tipi:

Makale

Yayın Tarihi:

9/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001327864

pISSN:

2602-3032

Idiopathic toe walking

cerebral palsy

childrenİdiyopatik parmak ucunda yürüme

serebral palsi

çocuk

Sayı

Makale detayları

Children presenting with toe walking: when should concern arise?

Yazarlar: Canan Üstün | Deniz Menderes | Pınar Özbudak | Elif Perihan Öncel | Bahadır Konuşkan

Yayıncı: Cukurova University

Ana Başlıklar: Çocuk Nörolojisi

Dergi: Cukurova Medical Journal Vol.49 Issue 3, pp.736-743

Belge Tipi: Makale

Yayın Tarihi: 9/2024

Belge Dili: İngilizce

Document ID (Org No.): 2001327864

pISSN: 2602-3032

Idiopathic toe walking

cerebral palsy

childrenİdiyopatik parmak ucunda yürüme

serebral palsi

çocuk

Sayı

Yazarlar:

Canan Üstün | Deniz Menderes | Pınar Özbudak | Elif Perihan Öncel | Bahadır Konuşkan

Yayıncı:

Cukurova University

Ana Başlıklar:

Çocuk Nörolojisi

Dergi:

Cukurova Medical Journal Vol.49 Issue 3, pp.736-743

Belge Tipi:

Makale

Yayın Tarihi:

9/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001327864

pISSN:

2602-3032