Supportive Care in Pediatrics — 7yo Child | Paediatric Neurology | SMLE Q#17806
SMLE Question #17806
Pediatrics
Paediatric Neurology
Objective: OBJ-NEURO-CP-001
Last updated: January 2026
A 7-year-old boy is brought to the clinic because of 1 day of unsteady walking and slurred speech. His parents report he was well until 3 days ago when he had fever, rhinorrhea, and cough that resolved with supportive care. Since yesterday, he has had a wide-based gait and keeps falling to the side. On examination, he is alert and interactive. He has scanning dysarthria and impaired finger-to-nose testing with dysmetria. Muscle strength is 5/5 in all extremities with normal tone. Deep tendon reflexes are 2+ and symmetric. Sensation is intact. Which of the following is the most likely diagnosis?
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