RT Book, Section
A1 Brust, John C. M. 
SR Print(0)
ID 1180669897
T1 Mostly Motor
T2 Practice of Neural Science: A Case-Based Approach
YR 1
FD 1
PB 
PP New York, NY
SN 9781264258956
LK neurology.mhmedical.com/content.aspx?aid=1180669897
RD 2024/04/23
AB A  15-year-old  boy,  weak  since  early  childhood,  has  been  wheelchair-bound  for  3  years.  Apparently  normal  at  birth,  he  did  not  walk  until  17  months  of  age,  and  he  never  ran  normally.  By  age  3,  toe-walking  and  a  waddling  gait  were  evident,  and  he  had  difficulty  climbing  stairs  and  rising  from  a  chair  without  using  his  arms.  His  stance  was  described  as  broad  based,  with  a  forward  pelvic  tilt  and  compensatory  lumbar  lordosis.  By  age  12,  there  was  obvious  scoliosis,  which  became  progressively  severe  after  he  was  confined  to  a  wheelchair.  He  is  an  only  child.  His  parents  are  neurologically  asymptomatic,  but  a  maternal  uncle  died  in  his  mid-20s  of  a  progressive  neuromuscular  disorder.