2025April

Last week's inner thigh walking (patient with intractable disease): A first-year junior high school girl Her walking style was a little awkward than before, but in May last year, when she went to school, she said, "I don't know how to walk." After that, her gait became asymmetrical and she began to walk while swinging one leg, and her words could not come out smoothly. He was examined at a children's hospital or orthopedic clinic, and a brain MRI and X-ray of the spine were performed, but he was diagnosed with no abnormalities in the spine or brain. I come to our hospital to see if I can improve it somehow. First of all, if you analyze the way you walk, the gait is like kicking up your right foot slightly. Words don't come out smoothly. When you speak while sleeping upwards, your tongue interferes, and the tendency becomes more pronounced. In the strength test, the right foot L4,5 is lowered, the perception test is negative. Hyperreflexia of the right kneecap tendon. It is judged that it is not caused by pressure on peripheral nerves based on the results of medical examination at the hospital, functional nerve examination, or orthopedic examination at our hospital, but by some kind of compression on the upper motor neurons. From his medical history, he had growth hormone secretion insufficiency, and when he was in elementary school, he had developmental disabilities and had a period of truancy. There are remnants of primitive reflexes due to body movements, etc., and I think that an approach to the brainstem is essential, so I make a treatment plan. Although it is a very deep-rooted symptom, after today's treatment, both mother and child changed their expressions completely and gained confidence, so I plan to face this intractable disease together in the future! Naoaki Kizu LanguageThis page was automatically translated. Please note that it may differ from the original content.