ABSTRACT

CASE PRESENTATION A 46-year-old woman was seen for a movement and gait disorder. She was the product of a full-term, normal pregnancy. She was delayed in her motor milestones and did not sit or walk until age 19 months, yet her language and cognitive milestones were normal. During childhood, she did not keep up with her friends in sports activities and tended to walk ‘hunched over’, with inversion of the feet. She denied muscle weakness. At age 14, she underwent a pneumoencephalogram and electroencephalogram (EEG), which were normal. She was placed on ephedrine, which she thinks helped minimally. Her life was restricted and she used a wheelchair, especially for long distances.