Neurodevelopmental disorders refer to any impairment and disorder of the brain and nervous system growth and development. Disorder in the brain and nervous system can affect the emotional, physiological, psychological ability and overall timely development of a child. With advanced technology and continuous study in the medical field, one can now assess the neurodevelopment of his/her children. Neurodevelopmental Assessment concentrates on the overall growth and development of a child including his/her weaknesses and strengths. A complete developmental profile is generated with the help of various tests and examinations. This assessment is used to analyse the various developmental factors including social and communication skills, functional and motor skills, cognition and learning abilities, and language and speech development. Neurodevelopmental Assessment involves a team of child s close people including parents, guardians, and family members who help to understand the medical history if any. It helps doctors to provide appropriate ways to assist the child in his/ her growth and development.

Tests and Examinations

Tests for the Neurodevelopmental Assessment may vary from child to child depending upon their condition. But, there are usually some tests that are done to understand the overall development of the child. These tests may include speech tests, hearing tests, blood tests, physical examinations, and questionnaires, which may be given before or during the assessment process.

Assessment

The assessment processes and sessions may vary depending upon the need of the child. However, usually, there are three major sessions that help the pediatrician understand the concerns of the family and parents. These sessions include consulting about the detailed medical history of the child, understanding the problem and its possible cause, and providing proper ways and treatment options for the patient. 

In the first session, parents and guardians are asked about any medical concern they have and the medical examination of the child is carried out accordingly. A standardized assessment with the child will be carried out by a clinical psychologist and the parents and guardians are asked to complete a questionnaire for the assessment. Depending upon the age, questionnaire may be sent to school for teacher/s to complete.

The next session is usually led by language and speech therapist to discuss and understand the current language and speech concerns of the child. Previous assessments and medical examinations are taken into account to carry out further assessments. An occupational therapist will assess the child s ability to perform self-care activities and other tasks according to his/her age. The session may include the assessment of a child s motor skills and abilities and reflection on any probable sensory-based problems that may be affecting the child s occupational performance.

The last session mainly includes the discussion with the parents and guardians to help them understand the problem, its causes, and treatment options. If the child requires any further assessment or/and recommendations, then the parents are told about that too.

Takeaway
Neurodevelopmental Assessment of children is often performed on kids who do not show the developmental signs according to their age. Parents and guardians should not hesitate to consult their children to clinical psychologist and therapist as the early intervention and assessment can help in the timely growth and development of the children.

Neurodevelopmental Assessment (0-5 Years)  - What Should You Know?

Dementia refers to the progressive loss of memory in a human being. It does not refer to any particular disease. It is rather a cumulative representation of symptoms which signify that the person is losing his or her memory. Dementia occurs in seven stages. Read on to read more about them:

In the first stage, there is no cognitive decline and the person is mentally sound. There is no memory loss as well.
In the second stage, there is a very mild cognitive decline leading to normal forgetfulness that is often associated with progressing age.
In the third stage, there is a mild cognitive decline. The person has an increased forgetfulness and may find it difficult to concentrate on things.
In the fourth stage, there is moderate cognitive decline and the person starts forgetting even the most recent events. They cannot even travel alone or manage their own finances.
In the fifth stage, there is moderately severe cognitive decline. The person going through this stage often requires help even with their daily activities. People tend to forget even the most common things like phone and email passwords.
In the sixth stage, there is severe cognitive decline. This stage is also called middle dementia and there is prominent memory loss. People cannot even count from 1 to 10. Their speech becomes slurry. They also start having delusions.
In the seventh stage, there is very severe cognitive decline. This stage is also called late dementia. The psychomotor skills are also lost at this stage and the person may not even be able to walk properly.
Some of the early signs of dementia are listed below:

In the initial days of dementia, the person usually tends to get confused when it comes to choosing the right words. This makes them take much longer time to conclude their speech.
There might also be a change in the mood of the person.
Depression is also one of the early signs.

The person will have a tendency to forget even the most recent events that took place in his or her life. This means that they might remember what happened ten years before but they might not remember what they did in the morning.
Early signs also include failure to sense directions. People often tend to forget their addresses and the landmarks and thus become lost when they travel alone.
Confusion is also one of the common signs and this is directly correlated to the loss of memory because when a person cannot remember familiar faces, it leads to a lot of confusion within his own mind.
So, if you suspect that someone in your house is suffering from dementia, then you must look out for these early signs and seek medical help immediately. Early treatment can keep the condition from worsening.

Dementia - Stages and Early Signs!

Nobody knows the exact cause of autism. All medical science knows is that it s a complex neurological disorder which is detected within the first three years of life and is caused due to structural changes in the brain. Autism causes a number of symptoms which grade from mild to moderate to severe, like-

Difficulty in communication and social interaction
Language impairment
Preoccupation with fantasies
Repetitive acts (echolalia)
Excessive possessiveness to certain objects
Intellectual impairment
Over-sensitivity or under-sensitivity to pain
Developmental problems
Causes
Genetic predisposition is the most common cause of autism. Exposure to environmental toxins is the other. Other causes are use of certain drugs during pregnancy, vaccinations etc.

Diagnosis
Diagnosis of autism can only be done by clinical evaluation as there are no laboratory tests for it. The psychiatrist prepares a detailed developmental case history of the child before arriving at a diagnosis.
There are a number of Autism screening tests to diagnose autism as well. One thing to always follow is to go to a psychologist who has a history of treatment of autistic disorders.

Diet
Theories are emerging that autism may be caused by a super sensitive child s response to foods like gluten found in grains and casein, a protein found in milk. These transform into substances that act like opiates in the child s body.

These drug-like substances alter the child s behaviour, his perceptions, and his responses to his environment. Recent research has found chemicals with opiate activity in the urine of a significant number of children with autism.

Autistic children have shown mild to dramatic improvements in speech, behaviour after going on a gluten-free, casein-free (GFCF) diet.

Some of the foods that can be eaten on GFCF diet include rice, quinoa, potato, buckwheat flour, soy, amaranth, corn, fruits, vegetables, beans, tapioca, meat, poultry, fish, shellfish, nuts, eggs, and sorghum, among others.

Homoeopathic treatment of Autism:

The homoeopath carries out a detailed study of the family history of serious diseases which are linked to the development of autism in his patient.
The genetic evaluation of the patient is followed by case analysis which takes into account impaired functions in the patient like repetitive behaviour, lack of social skills, speech issues etc.
The homoeopathic medicines indicated for autism are twenty and are usually given in combinations. A homoeopath takes the decision about the exact medicine to be given, its combination with other support medicines, the dose and its repetition based on the case history of the child.
By no means should one try to cure autism by self-medicating on homoeopathic medicines as this can cause deleterious effects.
It usually takes a minimum of six months for some perceptible changes in autistic children. Homoeopathic treatment may have to be continued for over a year if the symptoms of autism are very severe.

Autism- Diagnosis, Diet And Homeopathic Treatment!

Blessed are the people who can effortlessly fall asleep, especially at night. For some people, sleep appears like a distant dream that haunts them for days. Medically known as Insomnia, the disorder can take a toll on the physical and mental health of the individual affecting their personal as well as professional life to a great extent. The sleeping disorder may be temporary (Transient Insomnia) or long-lasting (Chronic that may persist for months). 

Some individuals may suffer from insomnia on and off (Intermittent Insomnia). Short-term insomnia may last for a few days or weeks and often improves on its own. Chronic insomnia needs medical attention at the earliest to avoid further aggravation and discomfort. On an average, a person needs 6-8 hours of sleep daily. In case of insomnia, a person may experience difficulties in falling asleep in spite of being tired and exhausted. Some may also not be able to enjoy a sound sleep (interrupted sleep).

Homeopathy and Insomnia
Homeopathic treatment has been a revelation in dealing with insomnia. With a holistic approach and the use of natural products and herbs, homoeopathy believes that evaluating and eliminating the underlying trigger can bring about drastic improvements in the case of insomnia. Insomnia may be an outcome of health conditions (secondary insomnia) such as diabetes, asthma, cancer, diabetes, heart disease, gastroesophageal reflux disease, Alzheimer's disease over-functioning of the thyroid. However, the trigger can be stress, anxiety, following an unhealthy sleep cycle, having the dinner late at night and retiring to bed immediately after (often termed as Primary Insomnia). The Homeopathic approach in treating insomnia involves a right mix of the homoeopathic medicines and bringing about the necessary changes in the lifestyle habits. Understanding the pattern and type is important to treat insomnia.

In the case of primary insomnia, in addition to the intake of medicines, the homoeopathic approach also emphasizes upon eliminating the lifestyle habits that triggered the sleeping disorder.

Time and again, homeopathy has stressed that there should at least be a 3 hours gap between dinner and sleep to ensure there is a better digestion of food without any incidences of acid reflux or heartburn. Avoid heavy or spicy foods for dinner. Keep the dinner light and simple.
Try to live a stress-free life. Meditation, yoga, exercise, listening to soft and light music, can play an instrumental role to keep the mind and the body calm and relaxed.
A healthy sleep cycle (sleep early, wake up early) can go a long way to reduce the incidences of insomnia, especially Transient and Intermittent.

Insomnia - Why Homeopathy Is The Best Form Of Treatment?

Injuries are very common, especially head injuries are one of the leading causes of death and disability in adults. As per surveys conducted, 1.7 million people suffer from head injuries every year and this estimation is increasing day by day.

Head Injury is any trauma to head other than superficial injuries to face. It results in high morbidity & mortality. Head injuries are an important cause of loss of young people at their productive age.

Causes of Head Injury-

A head injury can occur due to many reasons. Some common causes of these head injuries are:

Vehicle accidents

Street fights

Fall from height

Child abuse

Symptoms of Head Injury-

A head injury is followed by various symptoms depending upon the intensity of the injury. Here is a list of the possible symptoms of brain injuries:  

Nausea and vomiting, fatigue or sleepiness, severe headache, confusion, amnesia,  loss of consciousness, seizures, loss of muscle control or paralysis in the part of the body controlled by the part of the brain that is affected, coma, dilation of the pupils and disturbance of vision, Cerebrospinal fluids might come out of the ears and nose, sometimes accompanied by blood, difficulty in breathing, low pulse rate, increase in blood pressure, difficulty in swallowing, loss of hearing, problems in cognitive functions.

Brain damage is a process, not an event. 80% are minor head injuries, 10% are moderate head injuries and 10% are major head injuries.

Management of Head Injury-

Diagnosis of a brain injury has to be detailed and very quick at the same time. It always comes under emergency cases. Some of the steps involved are:

Glasgow Coma Scale

Pupillary reaction to light

Brain stem reflex tests

Head to toe examination

CT scan of head is the initial study of choice. MRI Brain is helpful in cases of non-haemorrhagic contusions, diffuse axonal injury and deep lesions.

Surgical Indications

Head injuries with intracranial hematomas causing significant mass effect

Massive cerebral edema

Hydrocephalus

Infection

Precautions for Head Injury

Use Helmets- both riders

Use Seat Belts

Keep vehicle speed under control

Follow traffic rules

Take adequate precautions during trekking, diving

Take Away-

No head injury is minor enough to be neglected nor severe enough to be given up.

Head injuries take time to heal, but medical treatment along with neurosurgery can aid the process of recovery and also help a person to lead a healthy life in the future. Most young patients recover fully, while some older patients or patients with preexisting neurological conditions live with a degree of disability.



Head Injuries - All You Must Know!

A tumor is an uncontrolled and abnormal growth of cells. A brain tumor is thus an abnormal growth and multiplication of cells in the brain. The cell growth can also be in areas adjacent to the brain. The brain tumor may

Have its origin in the brain (Primary brain tumor), or
Its origin may be in some other parts or organs of the body, which gradually spreads to the brain (Secondary/metastatic brain tumor).
Not all brain tumors are harmful and life threatening.

Brain tumors that exist as noncancerous cell growths are known as Benign brain tumors. Benign brain tumors seldom pose any threat to life.

Brain tumors that are cancerous and, thus, harmful, are known as Malignant brain tumors.

Do not neglect any brain tumors (malignant or not). It is better to be safe than to be sorry.

Types of Primary brain tumors:

Based on its cell of origin, primary brain tumors (benign as well as malignant) may be of the following types:

Meningiomas: Brain tumors that originate from the meninges (the membranes that cover the brain and the spinal cord). Meningiomas are seldom malignant.
Acoustic Neuromas: A noncancerous cell growth that has its origin in the vestibulocochlear nerve (the eighth cranial nerve). This nerve connects the brain with the inner ear.
Gliomas: Here, the tumor has its origin in the brain and the spinal cord (glial cells). This type of brain tumors, in most cases (~80%), are malignant.
Primitive Neuroectodermal Tumors (PNETs): Extremely rare, PNETs are malignant tumors that develop in the embryonic cells in the brain.
Medulloblastomas: Medulloblastomas is a malignant brain tumor that mostly affects children. It originates in the cerebellum (lower part of the brain).
Craniopharyngiomas: A benign brain tumor that has its origin near the pituitary gland (base of the brain). Craniopharyngiomas are common in children.
Probability of a secondary brain tumor are more in people who have had;

Kidney cancer
Breast cancer
Lung cancer
Colon cancer
Melanoma
Symptoms:

The symptoms of brain tumor include:

Chronic and regular headaches.
A change in the headache pattern.
Seizures.
A person may experience vision problems (Peripheral vision may be affected, double or blurred vision).
There may be difficulty in hearing.
Nausea and vomiting.
Behavioral and speech problems.
An arm or a leg may lose sensation.
A person has difficulty with balance.
Diagnosis and Treatment:
Though brain tumor can affect anyone and everyone, its chances are higher in

People who are more exposed to ionizing radiation. People having undergone a radiation therapy are equally vulnerable.
Children as well as older people.
People having a family history of brain tumors.
The diagnosis includes;

An imaging test like the MRI, CT scan and PET (Positron Emission Tomography).
Biopsy, whereby samples of the abnormal tissue is collected and examined.
Neurological examination.
Treatment:

Surgery is an effective treatment for brain tumors.
One can also opt for:

Radiations, whereby the abnormal tumor cells are destroyed using protons and x-rays (high-energy beams).
Chemotherapy: In this treatment, the tumor cells are destroyed using strong drugs (taken orally or intravenously).
Radiosurgery.
Targeted drug therapy: This treatment blocks the abnormalities that are characteristically present only in the cancer cells.

Brain Tumors: Types, Symptoms, Diagnosis, and Treatment

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