Abstract
Introduction
We describe three boys who were referred for neurological work-up of a tottering gait and in whom we diagnosed bone diseases, namely, Camurati-Engelmann disease, cartilaginous exostoses and a stress fracture as the underlying causes for the gait-disturbances.
Conclusion
“Non-neurologic disorders” must be considered even if pain is not a leading symptom in gait disturbances.
Abbreviations
- CED:
-
Camurati-Engelmann disease
- MCE:
-
Multiple cartilaginous exostoses
- OE:
-
Osteoid osteoma
References
Coady CM, Micheli LJ (1997) Stress fractures in the pediatric athlete. Clin Sports Med 16:225–238
De Smet L, Spaepen D, Zachee B, Fabry G (1998) Painless osteoid osteoma of the finger in a child. Case report. Chir Main 17:143–146
Francannet C, Cohen-Tanugi A, Le Merrer M, Munnich A, Bonaventure J, Legeai-Mallet L (2001) Genotype-phenotype correlation in hereditary multiple exostoses. J Med Genet 38:430–434
Groshar D, Lam M, Even-Sapir E, Israel O, Front D (1985) Stress fractures and bone pain: are they closely associated? Injury 16:526–528
Janssens K, Vanhoenacker F, Bonduelle M, Verbruggen L, Van Maldergem L, Ralston S, Guanabens N, Migone N, Wientroub S, Divizia MT, Bergmann C, Bennett C, Simsek S, Melancon S, Cundy T, Van Hul W (2006) Camurati-Engelmann disease: review of the clinical, radiological, and molecular data of 24 families and implications for diagnosis and treatment. J Med Genet 43:1–11
Kiers L, Shield LK, Cole WG (1990) Neurological manifestations of osteoid osteoma. Arch Dis Child 65:851–855
Lawrie TR, Aterman K, Sinclair AM (1970) Painless osteoid osteoma. A report of two cases. J Bone Joint Surg Am:1357–1363
Peterson HA (1989) Multiple hereditary osteochondromata. Clin Orthop 239:222–230
Vanhoenacker FM, Janssens K, Van Hul W, Gershoni-Baruch R, Brik R, De Schepper AM (2003) Camurati-Engelmann disease. Review of radioclinical features. Acta Radiol 44:430–434
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Lücke, T., Illsinger, S., Das, A.M. et al. Pitfalls in paediatric gait disturbances. Eur J Pediatr 165, 909–912 (2006). https://doi.org/10.1007/s00431-006-0180-6
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DOI: https://doi.org/10.1007/s00431-006-0180-6