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AUTISTIC DISORDER

AUTISTIC DISORDER. INTRODUCTION Impairment in Social interaction Communication Eye Gesture Speech Developmentally appropriate behavior, interest or activities Stereotypical body movements, a marked need for sameness, and a very narrow range of interest are also common.

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AUTISTIC DISORDER

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  1. AUTISTIC DISORDER INTRODUCTION • Impairment in • Social interaction • Communication • Eye • Gesture • Speech • Developmentally appropriate behavior, interest or activities • Stereotypical body movements, a marked need for sameness, and a very narrow range of interest are also common. • Onset prior to age-3yrs • Differential diagnosis • Other PDD (pervasive developmental disorder) • Mental retardation not associated with PDD

  2. Specific developmental disorder ( language) • Early onset of psychosis ( schizophrenia) • Social anxiety • Obsessive compulsive disorder • Stereotypic movement disorder • Rarely childhood dementia • Prevalence rate- 1 in 500; male: female ratio- 4:1 • Pathology – • Normally in first 2 yrs of life • Tremendous neuronal and axonal growth • synapse formation • Myelination • In autism the head circumference normal or slightly reduced at birth until 2 months age

  3. An abnormally rapid increase in head circumference from 6- 14 month age, largely concluded by the end of 2nd yr 2-4 yr increased brain volume esp frontal, temporal, cerebellar and limbic regions, the areas responsible for higher order cognitive, language, emotional and social functions, which are most impaired in autism. This early accelerated brain growth appears to stop early in childhood followed by abnormally slow or arrested growth, resulting in underdeveloped and abnormal circuitry in parts of brain • Miasm – multi miastic predominantly tubercular. • Psora- heightened sensitivity - Visual scanning of hand - Mouthing of objects - Rubbing of surfaces • Sycosis-; solo play; stereotypes, increased brain volume • Tubercular- hyperactivity, extraordinary skills, erratic brain growth • Syphilis- self injurious behaviour, destructivenes, decline in brain growth

  4. Etiology-“spontaneous” paternal or maternal genetic mutations that delete or inactive areas of the genome affecting early brain development • Treatment • Aim- to maximize the Childs ultimate functional independence and quality of life. • Begin intervention as early as possible. • Intensive intervention 25hr/wk, 12 month/yr • Speech therapy • Occupational therapy • Behavioral therapy • Cognitive therapy • Individualized educational program • Vocational training • Homoeopathy

  5. Prognosis • Most of the children continued to be dependents as adults • The outlook will be very much improved by integrating homoeopathy treatment with other therapy

  6. AUTISM WITH HYPERACTIVITY • Case 22-12-08 10 kg • 1.11yr boy brought for the complaints of no speech development, no eye contact, not mingling with anyone and hyperactivity • Child vaccinated up to 9 month • Between 1- 1.5yr the child was tied, not allowing him to go out of house • Recurrent fever and cold treated in allopathy Homoeopathy history • Anger with head banging on floor if interfered • Falls to ground with anger • Fear noise (2) • D- travelling • Thirst- frequent sips

  7. Scanty perspiration • D- sweets(2), chalk, slate pencil, lime • Sleep on back • Dentition- 9 month with diarrhea • Lean, fair • Thumb sucking+++ , restlessness+++ DD – thuja, bell, calc.carb R/ • Speech, occupational and behavioral therapy at home by parents for economical reasons • Thuja 30c 1 dose • SL 1 month 21-01-09 10kg • Mild URI- 15 days • Momentary eye to eye contact • Started smiling

  8. Speech: daddy, mummy • Comes when called • Admonition < • Running nose on and off R/ • SL 1 month 26-2-09 10kg • A little sustained eye contact • Looks and comes when called • Started playing with kids, not fully coordinated • Reduced thumb sucking • Begin to concentrate whatever he does • Normal bladder and bowel control • Anger- head banging on floor when scolded

  9. Neck glands++ R/ • SL 1 month 27-03-09 10kg • Chicken pox- 20 days back • Scared of certain ads, hides and watches • Dancing with loud banging music • Likes bright color • Strikes if he is stopped DD- bell, tarent R/ • Belladonna 30c 1 dose • SL1 month

  10. 06-06-09 10.250kg • Acute viral fever • a/f head bath, before full moon • Stool- frothy; occ, offensive • Heat- moderate T-101.f • Quiet disposition; thumb sucking+++; taking feeds • Weeps, kicks when touched • Thirst less R/ • SL 2 days • Tepid sponging 16-06-09 10.250kg • Communicates his needs by gesture ( listening to music) • More sustained eye contact • Understand if asked to go a specific person

  11. Speech- two single words with increased babbling • Head banging reduced R/ • SL 1 month 29-07-09 10.750kg • Jumping and dancing with songs • Admonition < • Anger- somersault, head banging reduced • Cannot tolerate hunger • Hyperactive+++ • Revolving around him, climbing, hanging up side down R/ • Belladonna 200c 1 dose • SL 1 month

  12. 24-09-09 11kg • Increasing gestural and eye to eye communication • Attaches to class teacher • Clings and roams behind mother • Strikes brother if he shouts • Retaliates if beaten(3) [ identity established] { robo} R/ • Belladonna 200c 1 dose • SL 1 month 06-10-09 11kg • Acute viral fever • Running nose t- 100.6.f • D- carry R/ • SL- 2 days

  13. 09-12-09 • Mild URI- 2 days • Running nose, watery, whitish • thirsty • Speech four single words • Plays tag( chasing game) • Eye to eye contact ++, communication++ • Sleep on left • D- sweets • Talking himself R/ • SL 1 month 26-01-10 11.500kg • Mild URI • Heat , midnight after(5am); t-100.f

  14. Cough occ; running nose; watery; light yellow • Coordinated while playing with kids • Speech- ten single words; telling words if taught • Jumping reduced; talking himself+ • Scratches others during anger R/ • SL 1 month 24-02-10 11.500kg • Acute viral fever- 2 days • Heat < 6pm; t- 100.3.f • Running nose • Attachment with teacher R/ • SL 2 days

  15. 05-05-10 12kg • Skin eruption ++ • Eye to eye contact++; communication++ • Rage- scratches parents, head banging+ • Has to retaliate(3) • D- banana R/ • Tub 200c 1 dose • SL 1 month 26-07-10 13 kg • Bites his own hand and show • White coating at base of tongue R/ • Nat.phos 1m 1 dose • SL 1 month

  16. 25-10-10 13.250kg • Mild URI- 1 day • Running nose; watery • AOM- right side • Palilalia R/ • SL 4 days 25-12-10 13.500kg • No palilalia R/ • Thuja 30c 1 dose • Tub 200c 1 dose( next day) • SL 1 month 09-07-11 14kg • Peeling of skin • Answer to question

  17. Keep things in proper place R/ • SL 1 month • Plan - regular school 13-10-11 16kg • No more autistic • Invites relatives • Kept on eating; d- hotel food • Av- meat(3) • Perspiration – forehead • Fear- dark • Bites, strikes with anger • Not listening if told harshly • Has to retaliate R/ • SL 1 month • Admitted in regular school in L.K.G

  18. 07-12-11 16.500kg • Now tells all words of objects( visual memory) • Cooperative while playing game with brother • Sing a song on request • Jumping reduced; walking reduced • Performs well in school(writing,rhymes) R/ • SL 1 month

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