the spectrum of neurodevelopmental disabilities
DESCRIPTION
THE SPECTRUM OF NEURODEVELOPMENTAL DISABILITIES. Joselyn C. Alonzo-Eusebio, M.D. Developmental Pediatrician. NEURODEVELOPMENTAL DISORDERS. Newest “morbidity” in childhood disorders. NEURODEVELOPMENTAL DISORDER. - PowerPoint PPT PresentationTRANSCRIPT
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THE SPECTRUM OF
NEURODEVELOPMENTALDISABILITIES
Joselyn C. Alonzo-Eusebio, M.D.
Developmental Pediatrician
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Decline in prevalence of infectious diseases
Decrease mortality in LBW and severely premature infants
Increased survival of neurologically compromised children
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Newest “morbidity” in childhood disorders
NEURODEVELOPMENTAL DISORDERS
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NEURODEVELOPMENTAL DISORDER
any disorder which is potentially capable of producing a chronic handicap that would adversely affect the quality of a child’s or adolescent’s life
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CLASSIFICATION OF DEVELOPMENTAL DISORDERS
I. Disorders primarily manifesting as a motor handicap
A. Cerebral palsy
II. Disorders primarily manifesting as a cognitive handicap
A. Mental retardation
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III. Disorders with specific deficits in processing
A. Peripheral processing disorders
1. Hearing impairment
2. Visual impairment
B. Central processing disorders
1. Autism
2. Attention Deficit Disorder
3. Learning Disabilities
IV. Seizures
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PREVALENCE
15-20% of the pediatric population have neurodevelopmental disabilities
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ESTIMATED PREVALENCE OF DEVELOPMENTAL DISORDERS & OTHER CHRONIC CONDITIONS
DisorderDisorder Case per 1,000 Case per 1,000
Attention Deficit/Hyperactivity Dis 100.0Speech & language disorders 70.0Learning disorders 75.0Asthma 29.0Mental retardation 20.0Arthritis 3.5Cerebral palsy 2.0Severe hearing impairment 1.5Diabetes mellitus 1.0Autism 0.4Visual impairment 0.4
Gortmaker, Walker, et al 1990
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HI2%
LD3%
GDD16%
DLD16%
MR20%
ASD32%
CP4%
ADHD7%
SPECTRUM OF NEURODEVELOPMENTALDISABILITIES AT NDC - PCMC (2000)
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DEVELOPMENTAL CONCERNS
Newborn Physiologic stabilityDysmorphismsNeurologic syndromes
High risk neonateCong malformationCNS dysfunction
Infancy Gross motor abilities Disorders ofmotor development
Preschool Language abilities Disorders oflanguage development
School Age School performanceBehaviors
Disorders ofcognitive developmentBehavior problems
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DEVELOPMENTAL DELAY
Specific concern on development Difficult to clearly delineate what is
normal and what is abnormal Guide : average level of established
norms The further away from the average a
child is the more likely he is to be delayed
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• Individualized
• Multidisciplinary
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To enable the child reachhis optimal developmental potential
Early recognition and early intervention…