Clinical Reasoning: Clinical Manifestations and Diagnostic Challenges in a 16-Year-Old With Early-Onset Ataxia
A 16-year-old adolescent girl presented with progressive walking imbalance, uncoordination of her limbs, impaired proprioceptive sensation distal to her wrists and ankles, and sensorineural hearing loss. Her evaluation revealed diffuse cerebellar atrophy, a demyelinating neuropathy, and hypergonadotropic hypogonadism. In this article, we present a systematic approach to a patient with early-onset ataxia, cerebellar atrophy, and demyelinating neuropathy.
Authors
- Deepak Chadha (ORCID: https://orcid.org/0000-0002-1353-5819)
- Madhu Nagappa (ORCID: https://orcid.org/0000-0002-6682-4577)
- Rashmi Santhoshkumar (ORCID: https://orcid.org/0000-0002-4964-438X)
- Aditi Goyal (ORCID: https://orcid.org/0000-0001-7839-1011)
- Lakshminarayanapuram Gopal Viswanathan (ORCID: https://orcid.org/0000-0002-5028-6508)
- Yasha T. Chickabasaviah
- Doniparthi Venkata Seshagiri (ORCID: https://orcid.org/0009-0002-9244-4671)
Institutions
- National Institute of Mental Health and Neurosciences (IN)
Publication Details
- Journal
- Neurology
- Published
- 2024-12-27
- DOI
- https://doi.org/10.1212/wnl.0000000000210253
- Primary Topic
- Genetic Neurodegenerative Diseases
- Type
- article
- Field-Weighted Citation Impact
- 0.00