Severe Myoclonic Epilepsy with Crouch Gait in a 10-year-old Male Child: Single Case Report Study

Abstract

The aim of the present study was to characterize changes in gait dysfunction by patients with severe myoclonic epilepsy (SME). Case description with a 10-year-old male child presented with crouch gait, with signs of pyramidal tract involvement, ataxia, and seizures for 10 years duration. The child, born to non-consanguineously married parents presented with seizures. Birth history was normal; based on the history and examination, a clinical diagnosis of epileptic syndrome was established.

Methodology: The diagnosis of patient with SME was made based on SCN1A analysis. Based on neurologist opinion, a confirmed diagnosis was taken into consideration. The investigator applied DGI and FMS score from baseline to postintervention. The duration was observed in two weeks therapeutic programme. The treatment consists of weekly six days/two week over twelve visits with one hour’s period.

Intervention: The comprehensive treatment such as stretching, ROM, tandem walking and obstacle clearance. After therapeutic intervention it was found that significant post intervention changes occur in DGI and FMS (P≤005). These specific changes have a significant impact on mobility and independence in the community setting.

Keywords: Functional Mobility Scale, Crouch Gait, Severe Myoclonic Epilepsy (SME)

Cite this Article

Karthikeyan, Narayan B. Severe Myoclonic Epilepsy with Crouch Gait in a 10-year-old Male Child: Single Case Report Study. Research & Reviews: Journal of Medicine. 2018; 8(2): 1–5p.