Ataxia (peds)

For adult patients see ataxia

Background

  • any disturbance in coordination of movement
  • most cases in ED will be acute (<72h), but can also be episodic or chronic
  • etiology usually benign in previously healthy child
  • most cases will be postinfectious cerebellitis, drug ingestion, or Guillain Barre

Clinical Features

Differential Diagnosis

Evaluation

Management

  • most postinfectious cerebellitis self limited, resolve within 3 months without sequelae
  • tox ingestion: supportive. social work or DCFS as indicated
  • Guillain Barre admit for IVIG, observation of respiratory status
  • Meningitis/Encephalitis admit, IV antibiotic, see meningitis section
  • intracranial mass: neurosurgery consultation

Disposition

  • consider discharge home mildly symptomatic, well appearing child with history and exam consistent with postinfectious cerebellitis with excellent follow-up (give injury prevention precautions)
  • otherwise, admission indicated for further workup, observation

See Also

References