espanolLas alteraciones en la marcha son un motivo de consulta habitual en las urgencias pediatricas; sin embargo, los casos de verdadera marcha ataxica son muy infrecuentes en los pacientes pediatricos. La principal preocupacion del profesional de urgencias radica en excluir las causas graves de este sindrome clinico; afortunadamente, en la mayoria de casos en la infancia, su origen suele ser un proceso benigno y autolimitado. Dentro de las ataxias adquiridas, la forma mas habitual de presentacion en los servicios de urgencias suele ser la aguda, cuya evolucion es menor de 72 horas en un nino previamente sano. En esta revision hemos analizado los casos de ataxia adquirida valorados en nuestro servicio de urgencias pediatricas durante un periodo de 11 anos, asi como su enfoque diagnostico. En nuestra serie, la causa mas frecuente de ataxia aguda fue la postinfecciosa (un 39,13% del total), seguida de las de origen tumoral (17,39%) y las intoxicaciones (13,04%). EnglishChanges in gait are a common reason for consultation in pediatric emergencies, however cases of true gait ataxia are rare in pediatric patients. The main concern of professional emergency lies in the exclusion of serious causes of this clinical syndrome, fortunately in most cases the origin in childhood is usually benign and self-limiting process. Among the acquired ataxias, the most common form of presentation in the pediatric emergency is usually that of acute ataxia, which are those whose evolution is less than 72 hours in a previously healthy child. In this review we have analyzed the cases of acquired ataxia evaluated in our pediatric emergency department during a period of 11 years and what was the diagnostic approach. In our series of cases the most common cause of acute ataxia was postinfectious (39.13% of total), followed by the tumoral origin (17.39%) and secondary to ingestion of toxic agents (13.04%).
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