title: [The stumbling toddler].
abstract: Four previously healthy children, two boys aged 5 and one boy and one girl aged 4 more or less acutely developed a stumbling gait. The causes varied from benign such as postviral acute cerebellar ataxia and benign paroxysmal vertigo to potentially life-threatening such as intoxication with benzodiazepines and medulloblastoma. Treatment led to complete or partial recovery. (Sub)acute balance disorders in previously healthy children can be due to cerebellar ataxia, vestibular disorders and abnormal proprioception. Ancillary investigations are warranted in case of gradually developing ataxia, accompanying neurological deficits, suspicion of intoxication, recurrent or familial ataxia, no spontaneous remission or even progression. In children with an isolated cerebellar ataxia without these features, ancillary investigations may be avoided, although in such cases careful follow-up remains necessary.
authors.forename: B R
authors.initials: BR
authors.lastname: Bloem
authors.forename: M A
authors.initials: MA
authors.lastname: de Roos
authors.forename: A J
authors.initials: AJ
authors.lastname: de Beaufort
authors.forename: O F
authors.initials: OF
authors.lastname: Brouwer
mesh_terms: D014151:Anti-Anxiety Agents / Q000506:poisoning; D001932:Brain Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D002524:Cerebellar Ataxia / Q000175:diagnosis* / Q000209:etiology; D002675:Child, Preschool; D003009:Clorazepate Dipotassium / Q000506:poisoning; D003937:Diagnosis, Differential; D003967:Diarrhea / Q000209:etiology; D005260:Female; D005684:Gait / Q000187:drug effects / Q000502:physiology; D006801:Humans; D008297:Male; D008527:Medulloblastoma / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D009460:Neurologic Examination; D020127:Recovery of Function; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014717:Vertigo / Q000145:classification / Q000209:etiology*; D014777:Virus Diseases / Q000150:complications / Q000175:diagnosis*
chemical_list: D014151:Anti-Anxiety Agents; D003009:Clorazepate Dipotassium
vernacular_title: De zwalkende kleuter.