Showing posts with label special cild. Show all posts
Showing posts with label special cild. Show all posts

Monday, August 3, 2009

Down Syndrome Child



She is stubborn but she is smart, she knows how to get her things done, even if she has to boss over her friends (specially when her teacher is not looking.) She likes to be the centre of attraction and is a quick learner. On festive days, she will wear her frilly dress, fancy clips in her hair and even carry a matching purse. When she is in mood, she will help with cleaning the class, and tiding up the room and then give her sweetest smile. Kareena Rajput is 10 year old Down syndrome child, so very cute that you just cannot resist hugging her.

Kids with Down syndrome tend to share certain physical features such as a flat facial profile, an upward slant to the eyes, small ears, and a protruding tongue.

Other characteristics of people who have Down syndrome are that the sinuses are not developed properly and this can cause the tear ducts to block and make them look like they are crying all the time.

Kids with Down syndrome have a wide range of abilities, and there's no way to tell at birth what they will be capable of as they grow up

Approximately half of all kids with Down syndrome also have problems with hearing and vision. Hearing loss can be related to fluid buildup in the inner ear or to structural problems of the ear itself.

Vision problems commonly include amblyopia (lazy eye), near- or farsightedness, and an increased risk of cataracts.Regular evaluations by an audiologist and an ophthalmologist are necessary to detect and correct any problems before they affect language and learning skills

Low muscle tone (called hypotonia) is also characteristic of children with Down syndrome, and babies in particular may seem especially "floppy." Though this can and often does improve over time, most children with Down syndrome typically reach developmental milestones — like sitting up, crawling, and walking — later than other kids.

At birth, kids with Down syndrome are usually of average size, but they tend to grow at a slower rate and remain smaller than their peers.

For infants, low muscle tone may contribute to sucking and feeding problems, as well as constipation and other digestive issues. Toddlers and older kids may have delays in speech and self-care skills like feeding, dressing, and toilet teaching.

Other medical conditions that may occur more frequently in kids with Down syndrome include thyroid problems, intestinal abnormalities, seizure disorders, respiratory problems, obesity, an increased susceptibility to infection, and a higher risk of childhood leukemia.

Upper neck abnormalities are sometimes found and should be evaluated by a physician (these can be detected by cervical spine X-rays). Fortunately, many of these conditions are treatable.



(Kareena with her class mates, she loves painting)

Down syndrome (DS), also called Trisomy 21, is a condition in which extra genetic material causes delays in the way a child develops, both mentally and physically.

Normally, at the time of conception a baby inherits genetic information from its parents in the form of 46 chromosomes: 23 from the mother and 23 from the father. In most cases of Down syndrome, a child gets an extra chromosome 21 — for a total of 47 chromosomes instead of 46. It's this extra genetic material that causes the physical features and developmental delays associated with Down syndrome

Although no one knows for sure why Down syndrome occurs and there's no way to prevent the chromosomal error that causes it, scientists do know that women age 35 and older have a significantly higher risk of having a child with the condition.

Down syndrome affects kids' ability to learn in different ways, but most have mild to moderate intellectual impairment.



Kids with Down syndrome can and do learn, and are capable of developing skills throughout their lives. They simply reach goals at a different pace — which is why it's important not to compare a child with Down syndrome against typically developing siblings or even other children with the condition.

While some kids with Down syndrome have no significant health problems, others may experience a host of medical issues that require extra care. For example, almost half of all children born with Down syndrome will have a congenital heart defect.

Kids with Down syndrome are also at an increased risk of developing pulmonary hypertension, a serious condition that can lead to irreversible damage to the lungs. All infants with Down syndrome should be evaluated by a pediatric cardiologist.

Breast feeding is very important for all babies especially for children with Down's syndrome because Mother's milk offers better protection for the immune system than formula milk. and the immune system of children who has Downs syndrome is almost always suppressed.

A simple, risk-free blood test can detect Down syndrome from the blood of pregnant women

Researchers in Hong Kong have developed a way of identifying genetic markers, which show whether an unborn child has the chromosomal disorder, without relying on risky amniocentesis techniques. The most common prenatal test for Down syndrome involves amniocentesis or chorionic villus sampling (CVS) in which a sample of the fluid surrounding the foetus is collected and analyzed.

The procedure might carry one per cent risk of miscarriage. As a result, it is only usually carried out if there is a high enough risk of a disorder - in older mothers, for example.

Source:http://kidshealth.org/

Thursday, June 18, 2009

Case history of Dandy-Walker Syndrome Child~ Jaisal Bakshi

Jaisal Bakshi is ten year old Dandy-Walker Syndrome child. He was admitted in Swami Brahmanand Pratishthan, Centre for Mentally Challenged two years ago. During that time, his condition was quite severe. But, he has very loving family, who work very hard on his progress and they co-operate with the teachers at school in helping him cope with his problems. He has shown marked improvement during these two years, he has better coordination of muscle movements, is able to recognize and respond to insructions and loves Bollywood music.

Dandy-Walker syndrome (DWS) is a congenital (present at birth) brain malformation typically involving the fourth ventricle and the cerebellum. The disorder was first described in 1914 by W. Dandy and K. Blackfan and was designated as Dandy-Walker syndrome in 1954 by C. Benda, who also reported familial occurrence. DWS occurs in one out of every 25,000 live births.

The following characteristics have been seen in children with Dandy-Walker syndrome:

• Enlargement of the fourth ventricle
• Absence (partial or complete) of the cerebellar vermis (area between the two cerebral hemispheres)
• Cyst formation in the posterior fossa (internal base of the skull)
• Slow motor development in early infancy
• Progressive macrocrania (abnormally enlarged skull)
• Hydrocephalus
• Seizures
• Intracranial pressure in older children, causing irritability, vomiting, and convulsions
• Cerebellar dysfunction causing ataxia and nystagmus
• Bulging occiput (back of head)
• Cranial nerve dysfunction
• Abnormal breathing patterns
• Agenesis of the corpus callosum
• Malformations of the face, limbs, digits, and heart
• Cleft lip and palate
• Urinary structural abnormalities

The majority of individuals with DWS are diagnosed their first year of life as a result of the commonly associated hydrocephalus. However, the definitive diagnosis can be made by ultrasound, CT-scan, or MRI.

Treatment consists of treating the associated symptoms (i.e., anticonvulsants for those with seizures and the insertion of a shunt for those with hydrocephalus). Balance problems and spasticity may occur and warrant physical therapy. Occupational therapy may be helpful for those with poor fine motor control.

The syndrome can appear dramatically, or be totally asymptomatic. Therefore, the prognosis for normal intellectual development varies depending on the severity of the syndrome and associated malformations. Difficulties in learning occur in 35-70% of children with DWS. Statistics in the literature citing a high rate of mental retardation most likely reflect injury due to inadequate management of the associated hydrocephalus, something which is less likely to occur today than in the past. Many children with DWS can be mainstreamed at school. Pediatricians, pediatric neurologists, pediatric neurosurgeons, geneticists, physical therapists, and educational specialists may be required to systematically follow these children and work towards ensuring that the child is given the best opportunities to reach his or her full potential.

Source: http://www.specialchild.com/

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