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THE SPECTRUM OF NEURODEVELOPMENTAL DISABILITIES

THE SPECTRUM OF NEURODEVELOPMENTAL DISABILITIES. Joselyn C. Alonzo-Eusebio, M.D. Developmental Pediatrician. NEURODEVELOPMENTAL DISORDERS. Newest “morbidity” in childhood disorders. NEURODEVELOPMENTAL DISORDER.

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THE SPECTRUM OF NEURODEVELOPMENTAL DISABILITIES

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  1. THE SPECTRUM OF NEURODEVELOPMENTAL DISABILITIES Joselyn C. Alonzo-Eusebio, M.D. Developmental Pediatrician

  2. NEURODEVELOPMENTAL DISORDERS Newest “morbidity” in childhood disorders

  3. 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

  4. CLASSIFICATION OF DEVELOPMENTAL DISORDERS • Disorders primarily manifesting as a motor handicap • A. Cerebral palsy • II. Disorders primarily manifesting as acognitive handicap • A. Mental retardation

  5. 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

  6. PREVALENCE 15-20% of the pediatric population have neurodevelopmental disabilities

  7. ESTIMATED PREVALENCE OF DEVELOPMENTAL DISORDERS & OTHER CHRONIC CONDITIONS Disorder Case per 1,000 Attention Deficit/Hyperactivity Dis 100.0 Speech & language disorders 70.0 Learning disorders 75.0 Asthma 29.0 Mental retardation 20.0 Arthritis 3.5 Cerebral palsy 2.0 Severe hearing impairment 1.5 Diabetes mellitus 1.0 Autism 0.4 Visual impairment 0.4 Gortmaker, Walker, et al 1990

  8. SPECTRUM OF NEURODEVELOPMENTAL DISABILITIES AT NDC - PCMC (2000)

  9. DEVELOPMENTAL CONCERNS Newborn Physiologic stability Dysmorphisms Neurologic syndromes High risk neonate Cong malformation CNS dysfunction Infancy Disorders of motor development Gross motor abilities Disorders of language development Preschool Language abilities School Age School performance Behaviors Disorders of cognitive development Behavior problems

  10. 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

  11. MANAGEMENT • Individualized • Multidisciplinary

  12. Early recognition and early intervention… To enable the child reach his optimal developmental potential

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