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What Does "bilateral Periventicular Leukomalacia With Deep Matter Volume Loss" Mean?
Question: I HAVE A BRAIN MRI OF MY CHILD SHE IS 9 MOTHS ONLY AND REPORT SHOWS EVERY THING NORMAL BUT IN CONCLUSIONS PAGE SHOWS BILATERAL PERIVENTICULAR LEUKOMALACIA WITH DEEP MATTER VOLUME LOSS
ATROPHIED CORPUS CALLOSUM
HYPOYIELNATION OF CORTICO AND SPINO THALAMIC TRACTS
HIS TEST OF CRP IS ALSO FOUND POSTIVE ANY PROBLEM IN THAT ALSO HOW TO UPLOAD REPORTS WHICH I SCANNED TODAY BUT DSCUSION WAS CLOSED FROM YOUR SIDE WHICH IS NOT GOOD .I PAY 400 RUPEES IN SAPIN 4 DAYS TO YOUR ADV ICE.HOW TO SEND SCANNED EPORTS.
REGARDING YOUR QUESTION OF WHY DOCTOR ADVISE HIM MIR BECAUSE WE TOLD HIM SHE IS 9 MONTHS OLD BUT CANNOT CRAWL SIT MOVE OR CANNOT HOLD ANY THING IN HIS HAND ALSO..
WE HAVE SHOWN ALL THE REPORTS TO THE NEROGEIEST DOCTOR AND HE SAYS NOTHING ABOUT AND SAYS IT IS OK AND NORMAL AS HE HAS GONE THROUGH WITH EVERY REPORT .HE SAYS NOTHING TO WORRY .I WANT TO KNOW IS HE IS WRIGHT SAYS.
WHAT ABOUT MY BABY CAN HE LIVE A NORMAL LIFE LIKE ME OR HE HAS ANY PROBLEMS KINDLY SUGGEST ME .HE HAS GIVEN US SOME MEDICATION ALSO FOR THE BRAIN.LET ME KNOW EVERY THING IS OK AND NORMAL IN MY CHILD .
WHAT ABOUT OTHER REPORTS OF MY CHILD IS SHE IS NORMAL LIKE OTHERS CHILDREN ANY THING TO WORRY OR NOT
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ATROPHIED CORPUS CALLOSUM
HYPOYIELNATION OF CORTICO AND SPINO THALAMIC TRACTS
HIS TEST OF CRP IS ALSO FOUND POSTIVE ANY PROBLEM IN THAT ALSO HOW TO UPLOAD REPORTS WHICH I SCANNED TODAY BUT DSCUSION WAS CLOSED FROM YOUR SIDE WHICH IS NOT GOOD .I PAY 400 RUPEES IN SAPIN 4 DAYS TO YOUR ADV ICE.HOW TO SEND SCANNED EPORTS.
REGARDING YOUR QUESTION OF WHY DOCTOR ADVISE HIM MIR BECAUSE WE TOLD HIM SHE IS 9 MONTHS OLD BUT CANNOT CRAWL SIT MOVE OR CANNOT HOLD ANY THING IN HIS HAND ALSO..
WE HAVE SHOWN ALL THE REPORTS TO THE NEROGEIEST DOCTOR AND HE SAYS NOTHING ABOUT AND SAYS IT IS OK AND NORMAL AS HE HAS GONE THROUGH WITH EVERY REPORT .HE SAYS NOTHING TO WORRY .I WANT TO KNOW IS HE IS WRIGHT SAYS.
WHAT ABOUT MY BABY CAN HE LIVE A NORMAL LIFE LIKE ME OR HE HAS ANY PROBLEMS KINDLY SUGGEST ME .HE HAS GIVEN US SOME MEDICATION ALSO FOR THE BRAIN.LET ME KNOW EVERY THING IS OK AND NORMAL IN MY CHILD .
WHAT ABOUT OTHER REPORTS OF MY CHILD IS SHE IS NORMAL LIKE OTHERS CHILDREN ANY THING TO WORRY OR NOT
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Brief Answer:
MRI is showing perinatal insult changes.
Detailed Answer:
Hi, Thanks for your question.
I can understand your concerns.
In my opinion your child has developmental delay due to perinatal insult which may have occurred antenatal or at birth time and may have gone unnoticed.
In my opinion you should get a developmental assessment of your child and start the early intervention therapy and neurodevelopmental therapy for your child so that she achieves her developmental milestones.
Brain has plasticity up to three years of age. So it is possible to make new connection in brain up to three years of age.
Do not waste time in starting the therapy.
It is difficult to say whether your child will be normal at present stage. Everything depends on how she responds to the therapy.
I would like to know what medications has the doctor given you.
I hope I have helped you
I any queries please feel to ask.
Dr. Meera Kotecha
Developmental and Behavioural Paediatrician.
MRI is showing perinatal insult changes.
Detailed Answer:
Hi, Thanks for your question.
I can understand your concerns.
In my opinion your child has developmental delay due to perinatal insult which may have occurred antenatal or at birth time and may have gone unnoticed.
In my opinion you should get a developmental assessment of your child and start the early intervention therapy and neurodevelopmental therapy for your child so that she achieves her developmental milestones.
Brain has plasticity up to three years of age. So it is possible to make new connection in brain up to three years of age.
Do not waste time in starting the therapy.
It is difficult to say whether your child will be normal at present stage. Everything depends on how she responds to the therapy.
I would like to know what medications has the doctor given you.
I hope I have helped you
I any queries please feel to ask.
Dr. Meera Kotecha
Developmental and Behavioural Paediatrician.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
the doctor which we have taken him given him tablets of bioten 10 and benatone40 and one liquid syrup jascartin 2.5 ml morning and evening
he has also advised to do MRI of spine ,it is necessary now to have MRI OF spine also .
you have mentioned therpy what kind of therpy it is and where it need to be started we are living in XXXXXXX .and what is nerodevlopmental therpy ,where it is done let me help in all.
i want to can my child lead a normal life like others children as last i have conslut radiologuist in helathcare and he says your child will be normal if u follow doctor advise.
ALSO ADVISE ME WHAT TO DO TO SO THAT MY CHILD DEVELOPMENTS STARTS AND SHE WILL BE GOOD.
WHERE TO TAKEN MY CHILD FOR TREATMENT AND WHICH IS BEST DOCTOR FOR HIM SO ..
THATS ALL GIVEN MEDICINES TO HER BY NEUROLIGIST SO FAR.
Brief Answer:
yes, get MRI spine
Detailed Answer:
Hi, Thanks you for your reply.
The medicines given by your doctor are vitamins and enzymes for brain development. Please continue it.
In my opinion you should also get an MRI done of the spine so that it will be clear that the lesions are in the brain only or involving the spine also.
Neurodevelopmental therapy is a type of physiotherapy where the child is assessed and treated for the achievement of his developmental milestones. e.g. if the child does not have achieved head holding and sitting then first child is taught head holding. The child is handled according to the body tone whether hypertonia or hypotonia.
You need to see a Developmental paediatrician. He will do a developmental assessment for the child and will advise you regarding the therapy. Also you can do stimulation program at home. Like talking to the child, interaction with the child, encouraging the child for visual following, reaching for the toys etc.
Again I would like to say that it depends on how your child responds to the therapy.
If you have any queries please feel free to ask
Dr. Meera Kotecha
yes, get MRI spine
Detailed Answer:
Hi, Thanks you for your reply.
The medicines given by your doctor are vitamins and enzymes for brain development. Please continue it.
In my opinion you should also get an MRI done of the spine so that it will be clear that the lesions are in the brain only or involving the spine also.
Neurodevelopmental therapy is a type of physiotherapy where the child is assessed and treated for the achievement of his developmental milestones. e.g. if the child does not have achieved head holding and sitting then first child is taught head holding. The child is handled according to the body tone whether hypertonia or hypotonia.
You need to see a Developmental paediatrician. He will do a developmental assessment for the child and will advise you regarding the therapy. Also you can do stimulation program at home. Like talking to the child, interaction with the child, encouraging the child for visual following, reaching for the toys etc.
Again I would like to say that it depends on how your child responds to the therapy.
If you have any queries please feel free to ask
Dr. Meera Kotecha
Above answer was peer-reviewed by :
Dr. Prasad
DAER MADAM,
WHAT WE DO FURTHER NOW AS WE ARE GIVING HIM MEDICINES AS PER DOCTORS ADVISE NOW ADVISE ME WHAT I HAVE DO FURTHER NOW TO GET MY BABY WELL SOON .
MY CHILD RESPONSE WELL TO OUR INTERACTOINS SO CAN WE TRY TO STAND HIM UP AT HOME AND TRY TO WALK HER FOR SOME DISTANCE WITH SUPPORT
ABOUT HIS NECK HOLDING SHOULD WE HOLD BY TWO HANDS SO THAT SHE GETS PROPER SUPPORT.
ALSO LET ME KNOW ANY MORE MEDICINE REQUIRED FOR HIM TO GET HIS DEVELPOMENT GOOD AND ALSO SUGGEST ME WHAT WE CAN DO AT HIME SO THAT HE CAN SIT WALK CRWAL AND HOLD TOYS GIVE ME IN BRIEF
IN THE MEAN TIME IF WE ARE UNBALE TO DO MRI SPINE THEN THERE IS ANY PROBLEM OR WE CAN DO IT IN TWO MONTHS TIME AS SHE WAS NOT HERE AT PRESENT KINDLY LET ME KNOW THE ALL
ALSO I M LIVING IN XXXXXXX .WHICH PED I HAVE TO CONSULT.
I AM VERY MUCH WORRY ABOUT MY CHILD SO HE NEED TO GET UP ON HER LEGS AS SOON AS POSSIBLE.
WHAT WE DO FURTHER NOW AS WE ARE GIVING HIM MEDICINES AS PER DOCTORS ADVISE NOW ADVISE ME WHAT I HAVE DO FURTHER NOW TO GET MY BABY WELL SOON .
MY CHILD RESPONSE WELL TO OUR INTERACTOINS SO CAN WE TRY TO STAND HIM UP AT HOME AND TRY TO WALK HER FOR SOME DISTANCE WITH SUPPORT
ABOUT HIS NECK HOLDING SHOULD WE HOLD BY TWO HANDS SO THAT SHE GETS PROPER SUPPORT.
ALSO LET ME KNOW ANY MORE MEDICINE REQUIRED FOR HIM TO GET HIS DEVELPOMENT GOOD AND ALSO SUGGEST ME WHAT WE CAN DO AT HIME SO THAT HE CAN SIT WALK CRWAL AND HOLD TOYS GIVE ME IN BRIEF
IN THE MEAN TIME IF WE ARE UNBALE TO DO MRI SPINE THEN THERE IS ANY PROBLEM OR WE CAN DO IT IN TWO MONTHS TIME AS SHE WAS NOT HERE AT PRESENT KINDLY LET ME KNOW THE ALL
ALSO I M LIVING IN XXXXXXX .WHICH PED I HAVE TO CONSULT.
I AM VERY MUCH WORRY ABOUT MY CHILD SO HE NEED TO GET UP ON HER LEGS AS SOON AS POSSIBLE.
Brief Answer:
Take your child to physiotherapist.
Detailed Answer:
Hello,
Thank you for asking.
1) Continue the vitamins and supplements given by your doctor. No need for any other medicines at present.
2) There is no urgency for the MRI of spine, you can get it done after two months
3) Take her to a physiotherapist who is expert in handling paediatric cases. Start the neurodevelopmental therapy with the physiotherapist.
4) For neck holding, put her in the prone position in your lap allow her to lift her head. Put her in prone position on the ground on a mat and show her some toys to encourage her to lift her head. Putting her on a therapy ball prone will alos promote head holding.
4) Show her some toy in front of her. If she does not try to reach for it, bring her hand in the mid line and give her the toy. If she does not take it to her mouth then give it her in her mouth.
5) Her handling in general will depend on the tone of her body whether she is hypotonic or hypertonic. Your physiotherapist will be able to guide you regarding this.
You child will definitely show improvement with the therapy
I hope I have helped you.
Thank You
Dr. Meera Kotecha
Developmental and Behavioural Paediatrician.
Take your child to physiotherapist.
Detailed Answer:
Hello,
Thank you for asking.
1) Continue the vitamins and supplements given by your doctor. No need for any other medicines at present.
2) There is no urgency for the MRI of spine, you can get it done after two months
3) Take her to a physiotherapist who is expert in handling paediatric cases. Start the neurodevelopmental therapy with the physiotherapist.
4) For neck holding, put her in the prone position in your lap allow her to lift her head. Put her in prone position on the ground on a mat and show her some toys to encourage her to lift her head. Putting her on a therapy ball prone will alos promote head holding.
4) Show her some toy in front of her. If she does not try to reach for it, bring her hand in the mid line and give her the toy. If she does not take it to her mouth then give it her in her mouth.
5) Her handling in general will depend on the tone of her body whether she is hypotonic or hypertonic. Your physiotherapist will be able to guide you regarding this.
You child will definitely show improvement with the therapy
I hope I have helped you.
Thank You
Dr. Meera Kotecha
Developmental and Behavioural Paediatrician.
Above answer was peer-reviewed by :
Dr. Prasad
Answered by
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