Ask the expert

tada

Ataxia (Uncoordinated movement, staggering)


Question

Our child has a history of intermittent "staggering" episodes. The neurologist and ENT (otolaryngologist) have been unable to locate any source of the problem. There is no sign of inner ear problems. He has had many EEGs (electroencephalogram, or test of brain waves) in the past. A physician had mentioned ataxia. What is the next step? Our physician has recommended we watch his eyes and keep a log of his behavior.

Answer of our experts

Ataxia would usually be in the neurology realm and the fact that everything was normal on testing is reassuring. It may be difficult to pinpoint the cause. Sometimes even viruses can cause ataxia, although it would not usually be intermittent. I have noticed that some individuals with CdLS walk with an ataxic type of gait. It can sometimes be worthwhile to try someone on an anti-epileptic medication and see if it helps. Some of them have very few side effects. Otherwise I think that waiting and watching would be the next best thing to do. You could also try videotaping the episodes and showing them to the neurologist.

TK 7-13-10

Answer is checked and valid for
us

Recommendation(s)

Ears and hearing

R39
Hearing should be assessed in individuals with CdLS at an early age and should be followed up over time. Those with severe sensorineural hearing loss should be assessed for auditory neuropathy.
R40
Regular eye (ophthalmologic) and ear, nose and throat (otolaryngologic) evaluations are recommended in adults with CdLS.
R41
Otitis media (middle ear infections) with fluid build up and sinusitis in individuals with CdLS should be considered and treated according to the national guidelines for the general population.

Recommendation(s)

Repetitive behaviour

R39
Hearing should be assessed in individuals with CdLS at an early age and should be followed up over time. Those with severe sensorineural hearing loss should be assessed for auditory neuropathy.
R40
Regular eye (ophthalmologic) and ear, nose and throat (otolaryngologic) evaluations are recommended in adults with CdLS.
R41
Otitis media (middle ear infections) with fluid build up and sinusitis in individuals with CdLS should be considered and treated according to the national guidelines for the general population.

Legal Disclaimer

Please take note that the Ask the Expert service is comprised of volunteer professionals in various areas of focus. Answers are not considered a medical, behavioral, or educational consultation. Ask the Expert is not a substitute for the care and attention your child’s personal physician, psychologist, educational consultant, or social worker can deliver.

Do you have a question you would like to ask?

Ask a Question

Do You <b>urgently</b> need help? <a href=WaihonaPartners.USA.emergencyContact>Contact the CdLS Foundation USA, Contact Us</a>!

                                                                                                                                                                                                                                                                                                                                                                                                                                      

topic holding this topic
Senses
'
Information