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Arnold Chiari I malformation with tip-toe gait: a case report
Gi Hoon Hwang1, Ghi Chan Kim1, Ho Joong Jeong1
1Department of Physical Medicine and Rehabilitation, Kosin University College of Medicine, Busan, Korea.
Korean Journal of Spine
|April 24, 2014
Summary
Arnold-Chiari malformation can cause various symptoms. A 12-year-old boy with tip-toe gait was diagnosed with Arnold-Chiari type I malformation, highlighting the need for neurological evaluation in patients with lower extremity tone changes.
Area of Science:
- Neurology
- Pediatric Neurology
- Neuroimaging
Background:
- Arnold-Chiari malformation type I is a complex neurological condition.
- Common symptoms include headache, neck pain, and gait disturbances.
- Rarely, specific symptoms like vertigo or ataxia are associated.
Purpose of the Study:
- To report a unique case of Arnold-Chiari malformation type I presenting with tip-toe gait in a pediatric patient.
- To emphasize the importance of considering central nervous system evaluation for unexplained lower extremity tone changes.
Main Methods:
- Case report of a 12-year-old boy.
- Clinical presentation analysis.
- Magnetic Resonance Imaging (MRI) of the brain and spine.
Main Results:
- The patient presented with tip-toe gait.
- MRI confirmed Arnold-Chiari malformation type I.
- The findings underscore a less common presentation of the condition.
Conclusions:
- Tip-toe gait can be an indicator of Arnold-Chiari malformation type I in children.
- Central nervous system evaluation is crucial for patients exhibiting changes in lower extremity tone.
- Early diagnosis and intervention are vital for managing neurological conditions.
