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Living with epilepsy can be highly challenging. This is a medical condition that can be controlled with medications in most cases, but it might not be useful for all patients due to severe side effects. It is estimated that up to 30% people who have epilepsy face this issue, and in such cases, surgery might be considered as an option.
This condition typically results in seizures which is a result of sudden electrical activity in the brain. So, certain complicated epilepsy operations on the brain can help patients with their seizures and contain their symptoms.
The goal of epilepsy surgeries involves removing part of the brain that causes these seizures and disrupting parts of the nervous system in the brain that contribute to the same. The procedure also involves the installation of a device that helps control the side effects of epilepsy.
When is surgery not an option for epilepsy?
Doctors would accurately identify the part of the brain that is causing seizures as the first step. These parts are known in medical terms as the ‘seizure’ focus. This area should not be related critical functions of the brain like movement, sensation, and language involved – else surgery would not be possible.
Surgery is not viable when seizures are severe and impair bodily movement or if the patient has serious medical conditions (like cancer or heart diseases).
Common Surgery Options Available
- Lesionectomy: This is one of the most commonly used procedures. This form of surgery involves the surgeon removing brain lesions from the brain or areas of injury due to malformed blood vessels or tumors. These injuries can often cause seizures and epilepsy and can be treated effectively with lesionectomy.
- Lobe resection: This is another form of treatment which is possible only if the epilepsy is located in one of the four parts of the brain – the temporal lobe. It is quite common in younger people and can easily be treated by expert neurosurgeons by removing the brain tissues that are causing epilepsy.
- Multiple Subpial Transections: While the above methods involve cutting out brain tissues, sometimes such surgeries just might not be possible due to other complications. If the parts of the brain cannot be cut out, surgeons tend to adopt Multiple Subpial Transections. This procedure can help control seizures without requiring cutting out parts of the brain. Small intersections are made in the brain to disrupt the impulses from affected brain cells that cause seizures, and they do not affect normal brain activity. It helps leave all abilities intact in patients and aids in treatment very effectively.
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Dear Doctor, I have an doubt that I am taking Tablets for Diabatees since 2010, controlled my diabeties. Any side effect for taking medicines for long period ? .
As with other skills and milestones, the age at which kids learn language and start talking can very. Many babies happily babble" mama" and" dada" well before their first birthday, and most toddlers can say about 20 words by the time they're 18 months old. But what if a 2-year-old isn't really talking yet or only puts two words together?
Knowing what's" normal" and what's not in speech and language development can help parents figure out if there's cause for concern or if their child is right on schedule.
How are speech and language different?
Speech is the verbal expression of language and includes articulation (the way sounds and words are formed).
Language is the entire system of giving and getting information in a meaningful way. It's understanding and being understood through communication — verbal, nonverbal, and written.
What are speech or language delays?
Speech and language problems differ, but often overlap. For example:
A child with a language delay might pronounce words well but only be able to put two words together.
A child with a speech delay might use words and phrases to express ideas but be difficult to understand.
When do kids develop speech and language skills?
The stages of speech and language development are the same for all kids, but the age at which kids develop them can vary a lot.
During routine speech therapist/ doctors look to see if kids have reached developmental milestones at these ages:
Before 12 months
By the first birthday, babies should be using their voices to relate to their environment. Cooing and babbling are early stages of speech development. At around 9 months, babies begin to string sounds together, use different tones of speech, and say words like" mama" and" dada" (without really understanding what those words mean).
Before 12 months of age, babies also should be paying attention to sound and starting to recognize names of common objects (bottle, binky, etc.). Babies who watch intently but don't react to sound could be showing signs of hearing loss
By 12 to 15 months
Kids this age should have a wide range of speech sounds in their babbling (like p, b, m, d, or n), begin to imitate sounds and words they hear, and often say one or more words (not including" mama" and" dada"). Nouns usually come first, like" baby" and" ball" they also should be able to understand and follow simple one-step directions (" please give me the toy" etc.).
From 18 to 24 months
Most (but not all) toddlers can say about 20 words by 18 months and 50 or more words by the time they turn 2. By age 2, kids are starting to combine two words to make simple sentences, such as" baby crying" or" daddy big" a 2-year-old should be able to identify common objects (in person and in pictures); point to eyes, ears, or nose when asked; and follow two-step commands (" please pick up the toy and give it to me" for example).
From 2 to 3 years
Parents often see huge gains in their child's speech. A toddler's vocabulary should increase (to too many words to count) and he or she should routinely combine three or more words into sentences.
Comprehension also should increase — by age 3, a child should begin to understand what it means to" put it on the table" or" put it under the bed" kids also should begin to identify colors and understand descriptive concepts (big versus little, for example).
What are the signs of a speech or language delay?
A baby who doesn't respond to sound or who isn't vocalizing should be seen by a doctor right away. But often, it's hard for parents to know if their child is just taking a little longer to reach a speech or language milestone, or if there's a problem that needs medical attention.
Here are some things to watch for. Call your doctor if your child:
By 12 months: isn't using gestures, such as pointing or waving bye-bye
By 18 months: prefers gestures over vocalizations to communicate
By 18 months: has trouble imitating sounds
Has trouble understanding simple verbal requests
By 2 years: can only imitate speech or actions and doesn't produce words or phrases spontaneously
By 2 years: says only certain sounds or words repeatedly and can't use oral language to communicate more than his or her immediate needs
By 2 years: can't follow simple directions
By 2 years: has an unusual tone of voice (such as raspy or nasal sounding)
Is more difficult to understand than expected for his or her age:
Parents and regular caregivers should understand about half of a child's speech at 2 years and about three quarters at 3 years.
By 4 years old, a child should be mostly understood, even by people who don't know the child.
What causes speech or language delays?
A speech delay in an otherwise normally developing child might be due to an oral impairment, like problems with the tongue or palate (the roof of the mouth). And a short frenulum (the fold beneath the tongue) can limit tongue movement for speech production.
Many kids with speech delays have oral-motor problems. These happen when there's a problem in the areas of the brain responsible for speech, making it hard to coordinate the lips, tongue, and jaw to produce speech sounds. These kids also might have other oral-motor problems, such as feeding difficulties.
Hearing problems are also commonly related to delayed speech. That's why an audiologistshould test a child's hearing whenever there's a speech concern. Kids who have trouble hearing may have trouble articulating as well as understanding, imitating, and using language.
Ear infection especially, chronic infection, can affect hearing. Simple ear infections that have been treated, though, should not affect speech. And, as long as there is normal hearing in at least one ear, speech and language will develop normally.
How are speech or language delays diagnosed?
If you or your doctor think that your child might have a problem, it's important to get an early evaluation by a speech_ language therapistyou can find a speech-language pathologist on your own, or ask your health care provider to refer you to one.
The speech-language pathologist will evaluate your child's speech and language skills within the context of total development. The pathologist will do standardized tests and look for milestones in speech and language development.
The speech-language pathologist will also assess:
What your child understands (called receptive language)
What your child can say (called expressive language)
If your child is attempting to communicate in other ways, such as pointing, head shaking, gesturing, etc.
Sound development and clarity of speech
Your child's oral-motor status (how the mouth, tongue, palate, etc, work together for speech as well as eating and swallowing)
Based on the test results, the speech-language pathologist might recommend speech therapy for your child.
How does speech therapy help?
The speech therapist will work with your child to improve speech and language skills, and show you what to do at home to help your child.
What can parents do?
Parental involvement is an important part of helping kids who have a speech or language problem.
Here are a few ways to encourage speech development at home:
Spend a lot of time communicating with your child. Even during infancy — talk, sing, and encourage imitation of sounds and gestures.
Read to your child. Start reading when your child is a baby. Look for age-appropriate soft or board books or picture books that encourage kids to look while you name the pictures. Try starting with a classic book (such as pat the bunny, in which your child imitates the patting motion) or books with textures that kids can touch. Later, let your child point to recognizable pictures and try to name them. Then move on to nursery rhymes, which have rhythmic appeal. Progress to predictable books (such as brown bear, brown bear, what do you see?) that let kids anticipate what happens. Your little one may even start to memorize favorite stories.
Use everyday situations. To reinforce your child's speech and language, talk your way through the day. For example, name foods at the grocery store, explain what you're doing as you cook a meal or clean a room, point out objects around the house, and as you drive, point out sounds you hear. Ask questions and acknowledge your child's responses (even when they're hard to understand). Keep things simple, but avoid" baby talk"
Recognizing and treating speech and language delays early on is the best approach. With proper therapy and time, your child will be better able to communicate with you and the rest of the world.