An Evaluation of the Infant with Motor Delays .pptVIP

* In our previous case, the MRI reveals the diagnosis but it did not become apparent until the second MRI could demonstrate the neuronal migration defect. In our previous case, the MRI reveals the diagnosis but it did not become apparent until the second MRI could demonstrate the bifrontal cortical dysplasia. The sulci are underdeveloped, there is thickening of the gyri. Suggestive of bifrontal pachygyria White matter slightly diminished * To obtain guidance on what is reasonable, we can look to what experts recommend for CP. * * These authors help us to understand the clinical genetic evaluation of the child with developmetnal delays or mental retardation. They are quick to point out that the primary pediatrician need not embark on all these studies. They recognize that the primary pediatrician is the one to identify the concern, decide what resources are necessary and then may choose to initiate the diagnostic evaluation or seek consultation. These authors report similarr ecommedations on the usefulness of imaging, high resolution chromosomes, and metabolic testing as Drs. Ashwall and colleagues. * * * * Most of the time, with motor delays and disability, we aren’t talking about cure, but rather maximizing the child’s functional abilites. On the right, I’ll share my one and only”cure” in this arena. This is the Xaray of a child who presented with delayed walking. Her PE was significant for wide wrists and ankles. Her history and laboratory analysis was consistent with Vit D deficient rickets. With supplementation, she quickly began walking, her radiographs normalized. But that isn’t the way is goes for kids with motor delays. Either their neurologic system matures and the childs delays go away with time or the child has a long term problem. For those children with a long term problem, I’ve learned from my rehabiliation colleagues to think in terms of the …. * In thinking about therapy for mobility impairment we use the concepts of the national C