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Treatment of Neurological Problems
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Autism spectrum disorder (ASD) is a range of complex neurodevelopment disorders, characterized by social impairments, communication difficulties, and restricted, repetitive, and stereotyped patterns of behaviour. Males are four times more likely to have an ASD than females. A recent study in US found 1 in 68 children suffering from autism.
What are some common signs of autism?
The hall feature of ASD is impaired social interaction. As early as infancy, a baby with ASD may be unresponsive to people or focus intently on one item to the exclusion of others for long periods of time. A child with ASD may appear to develop normally and then withdraw and become indifferent to social engagement.
Children with an ASD may fail to respond to their names and often avoid eye contact with other people. They have difficulty interpreting what others are thinking or feeling because they can’t understand social cues, such as tone of voice or facial expressions, and don’t watch other people’s faces for clues about appropriate behaviour. They lack empathy.
Many children with an ASD engage in repetitive movements such as rocking, or self-abusive behaviour such as biting or head-banging. They also tend to start speaking later than other children. Children with an ASD don’t know how to play interactively with other children. Some speak in a sing-song voice about a narrow range of favourite topics, with little regard for the interests of the person to whom they are speaking.
Children with characteristics of an ASD may have co-occurring conditions, including Fragile X syndrome (which causes mental retardation), tuberous sclerosis, epileptic seizures, Tourette syndrome, learning disabilities, and attention deficit disorder. About 20 to 30 percent of children with an ASD develop epilepsy by the time they reach adulthood.
How is autism diagnosed?
Very early indicators that require evaluation by an expert include:
• no babbling or pointing by age 1
• no single words by 16 months or two-word phrases by age 2
• no response to name
• loss of language or social skills
• poor eye contact
• excessive lining up of toys or objects
• No smiling or social responsiveness.
If you find any of these features in your child, please consult the local pediatrician or child neurologist if available who can assess your child in detail. There is no single blood test to diagnose autism. However, the doctor needs to look into certain disorders in which children have similar features or having features of autism in addition to other signs of that disorder. E.g. Tuber sclerosis, Landau-kleffner syndrome (a form of Epilpesy), other childhood epilepsies, some metabolic and genetic disease. So your doctor may do some blood test, hearing assessment, EEG, etc. depending upon the presenting features and assessment.
What role does inheritance play?
Twin and family studies strongly suggest that some people have a genetic predisposition to autism. Identical twin studies show that if one twin is affected, there is up to a 90 percent chance the other twin will be affected. In families with one child with ASD, the risk of having a second child with the disorder is approximately 5 percent, or one in 20. This is greater than the risk for the general population.
Do symptoms of autism change over time?
For many children, symptoms improve with treatment and with age. Children whose language skills regress early in life (before the age of 3) appear to have a higher than normal risk of developing epilepsy or seizure-like brain activity. During adolescence, some children with an ASD may become depressed or experience behavioural problems, and their treatment may need some modification as they transition to adulthood. People with an ASD usually continue to need services and supports as they get older, but many are able to work successfully and live independently or within a supportive environment.
How is autism managed?
There is no cure for ASDs. However, it is important to diagnose it early and look for associated conditions like ADHD (Attention deficit hyperactive disorder), Epilepsy, sleep disorders, etc. Earlier is intervention, better is the outcome. Therapies and behavioral interventions are designed to remedy specific symptoms and can bring about substantial improvement. The ideal treatment plan coordinates therapies and interventions that meet the specific needs of individual children.
Educational/behavioural interventions: Therapists use highly structured and intensive skill-oriented training sessions to help children develop social and language skills, such as Applied Behavioural Analysis. Family counselling for the parents and siblings of children with an ASD often helps families cope with the particular challenges of living with a child with an ASD.
Medications: Doctors may prescribe medications for treatment of specific autism-related symptoms, such as anxiety, depression, or obsessive-compulsive disorder. Antipsychotic medications are used to treat severe behavioural problems. Seizures can be treated with one or more anticonvulsant drugs. Medication used to treat people with attention deficit disorder can be used effectively to help decrease impulsivity and hyperactivity.
Other therapies: There are a number of controversial therapies or interventions available, but few, if any, are supported by scientific studies. Parents should use caution before adopting any unproven treatments. Although dietary interventions have been helpful in some children, parents should be careful that their child’s nutritional status is carefully followed.
Conclusion: Autism is seen commonly now a day. The main features are delayed speech, poor eye contact and social interaction and restricted interest with repetitive behaviour. Parents and physician should aware of its early symptoms so that early intervention can be started.
Do you have any cure for diabetic neuropathy spread into back bone to right foot? giving tingling pain and heaviness in foot -walking is painful right foot.
Do not ignore transient brain dysfunction
TIA or transient ischemic attack or mini paralysis is "a brief episode of neurologic dysfunction caused by lack of blood supply to a specific area of the brain or eye, with clinical symptoms typically lasting less than one hour, and without evidence of acute infarction or brain attack,
It is a neurological emergency and early recognition can identify patients who may benefit from preventive therapy or from surgery of large vessels such as the carotid artery.
The initial evaluation of suspected TIA and minor non disabling ischemic paralysis includes brain imaging, neurovascular imaging and a cardiac evaluation. Laboratory tests may help to rule out metabolic and hematologic causes of neurologic symptoms.
TIA or minor non disabling ischemic paralysis is associated with a high early risk of recurrent paralysis. The risk of paralysis in the first two days after TIA is approximately 4 to 10 percent. Immediate evaluation and intervention after a TIA or minor ischemic reduces the risk of recurrent stroke.
Risk factor management is appropriate for all patients. Currently viable strategies include blood pressure reduction, statins, antiplatelet therapy and lifestyle modification, including smoking cessation.
For patients with TIA or ischemic stroke of atherothrombotic, lacunar (small vessel occlusive), or cryptogenic type, antiplatelet agents should be given. For patients with atrial fibrillation and a recent ischemic stroke or TIA, the treatment is blood thinners. For patients with carotid blockages surgery is needed.
Hello, I usually take a lot of stress and think abt stuffs a lot too as I am loner and don't have frds in col life but from the past year I have been getting heavy head aches when ever I over think or depressed and it's unbearable pain too but now a days it just starts paining with out any reasons too. I am not really sure how much would it cost to have a check up fr a brain tumor as I have heard this is the cause for it too so please suggest me what should I do and if it really might be a tumor in my case. I usually have pains on the left side of brain but sometimes even on all the sides as if someone is applying too much pressure and it's gonna burst. I have many times fainted too cos of headaches.
I suffer from Migraine since long. Not taken any medicine yet. Am Male, 59 years, occasional smoker and drinks beer/wine once in a while.
Hi sir, I am getting headache frequently, sometimes it is bearable ad some times it is non bearable. When I visited a doctor he said it might be Migraine and gave me some medicines. How to know whether I am suffering from Migraine or normal headache ?
Frequently I am getting headache. I check it's migraine. Now days it's coming frequently how to avoid it.
बढ़ती उम्र मे याददाश्त का धीमा होना(dementia) एक आम समस्या है जिसके कई कारण है जैसे neuronal degenration, vascular problems, vitamin b1 deficiency, liver or kidney disease, alcoholism
याददाश्त की कमज़ोरी या dementia की 3 अवस्थाए होती हैं:
•चीज़े भुल जाना
•शब्द भुल जाना
•नयी परिस्थितियों मे तारतम्य ना बैठा पाना
•लोगो और परिस्थितियों के लिये उदासीन रहना
•नयी जगहो पर भटक जाना
•जानी पहचानी जगह भुल जाना
•खाना पीना भी याद ना रहना
•कपडे पहनने मे दिक्कत महसुस होना
•शौच कर के बिना धोये निकल आना
•जुते के फ़ीते बांधना या शर्ट के बटन बंद करना भुल जाना
•वाक् शक्ति का लोप होना
•पेशाब ना रोक पाना
•खाना निगलने मे दिक्कत महसुस होना
होम्योपैथिक विज्ञान को छोड़ कर आधुनिक चिकित्सा शास्त्र मे dementia का कोई इलाज नही है|