What Are the Reasons for a Three-Year-Old Child’s Unsteady Walking and Falls?

A three-year-old child exhibits unsteady walking and frequent falls, and experiences leg pain after walking a hundred meters. Examination reveals elevated levels of aspartate aminotransferase and creatine kinase isoenzymes in cardiac enzymes, with the rest of the test results normal. The EMG shows damage to both lower limb nerves, but there is no clear history of trauma. The MRI did not show any abnormalities, and the neurology examination did not yield a definitive diagnosis. What diseases could this be related to?
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What Are the Screening Projects for Down Syndrome?

The Down syndrome screening plan includes checks for thalassemia, neural tube defects, and trisomy 21, to determine if the fetus has any abnormalities. It is recommended to undergo a fasting blood test between 15 to 20 weeks of pregnancy, which is crucial for preventing the birth of malformed infants. It is advised that all pregnant women undergo this screening during pregnancy. During pregnancy, it is important to rest adequately, avoid overexertion, maintain a balanced diet, consume more fresh vegetables and fruits, and undergo regular checks.
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