1 Day Of Unsteady in Pediatrics — 7yo Child | Paediatric Neurology | SMLE Q#17806
SMLE Question #17806
Pediatrics
Paediatric Neurology
Objective: OBJ-NEURO-CP-001
Last updated: February 2026
A 7-year-old boy is brought to the clinic with 1 day of unsteady gait and slurred speech. Three days ago, he had fever, rhinorrhea, and cough that improved with supportive care. Since yesterday, he has a wide-based gait and falls to either side. He is alert and interactive. Examination shows scanning dysarthria and dysmetria on finger-to-nose testing. Muscle strength and tone are normal in all extremities. Deep tendon reflexes are 2+ and symmetric, and sensation is intact. Which of the following is the most likely diagnosis?
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