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countrygal- 08-18-2005
As some may remember Angel went to the first developmental clinic in June.She was seen by a doctor stevenson--hes the first one who mentioned mild CP but mild enough not to label her with it and told us we were doing all we could for her in terms of help at this point.He went on to dx her with developmental coordination disorder. Well--I FINALLY got the full report in the mail today--I called and called and it was always in the mail but finally got here today.

He did dx her with developmental coordination disorder and states that it also includes an element of apraxia

BUT heres the part where I am confused
he also dx her with Microcephaly and stating her head circumference was only in the 2 percentile blink.gif
I did a search to find out what exactly this is and heres what I found


Neurological Disorders
Microcephaly
What is microcephaly?
Microcephaly is a condition that is present at birth in which the baby's head is much smaller than normal for an infant of that age and gender. "Micro" means small and "cephaly" refers to the head. Most children with microcephaly also have a small brain and mental retardation. However, some children with small heads have normal intelligence.
What causes microcephaly?
Microcephaly is either caused by exposure to harmful substances during the fetal development, or it may be associated with genetic problems or syndromes that may have a tendency to run in families.


Theories suggest that the following may predispose a fetus to problems that affect the normal development of the head during pregnancy:



exposure to hazardous chemicals/substances
exposure to radiation
lack of proper vitamins and nutrients in the diet
infection
prescription or illegal drug and alcohol consumption
maternal diabetes
Microcephaly can occur alone or in association with other health problems, and may occur from inheritance of an autosomal recessive, or rarely, an autosomal dominant gene. Acquired microcephaly may occur after birth due to various brain injuries such as lack of oxygen or infection.



Autosomal recessive and autosomal dominant are two patterns in which genes are inherited in a family. Genes determine our traits, such as eye color and blood type, and can also cause disease. Autosomal means that both males and females are equally affected. Recessive means that two copies of the gene, one inherited from each parent, are necessary to have the condition (in this case, microcephaly). After parents have had one child with autosomal recessive microcephaly, there is a 25 percent chance, or one in four chance, with each pregnancy, to have another child with microcephaly.



What are the symptoms of microcephaly?
The following are the most common symptoms of microcephaly. However, each child may experience symptoms differently. Symptoms may include:
appearance of the baby's head is very small
high-pitched cry
poor feeding
seizures
increased movement of the arms and legs (spasticity)
developmental delays
mental retardation
The symptoms of microcephaly may resemble other conditions or medical problems. Always consult your child's physician for a diagnosis.



How is microcephaly diagnosed?
Microcephaly may be diagnosed before birth by prenatal ultrasound, a diagnostic imaging technique which uses high-frequency sound waves and a computer to create images of blood vessels, tissues, and organs. Ultrasounds are used to view internal organs as they function, and to assess blood flow through various vessels.


In many cases, microcephaly may not be evident by ultrasound until the third trimester, and, therefore, may not be seen on ultrasounds performed earlier in pregnancy. The diagnosis of microcephaly may be made at birth or later in infancy. The baby's head circumference is much smaller than normal. During the physical examination, the physician obtains a complete prenatal and birth history of the child. In older babies and children, the physician may also ask if there is a family history of microcephaly or other medical problems. The physician will also ask about developmental milestones since microcephaly can be associated with other problems, such as mental retardation. Developmental delays may require further medical follow up for underlying problems.



A measurement of the circumference of the child's head is taken and compared to a scale that can identify normal and abnormal ranges.



Diagnostic -*test*-('")s that may be performed to confirm the diagnosis of microcephaly and identify abnormalities in the brain include:



head circumference - this measurement is compared with a scale for normal growth and size.


x-ray - a diagnostic -*test*-('") which uses invisible electromagnetic energy beams to produce images of internal tissues, bones, and organs onto film.


computed tomography scan (Also called a CT or a CAT scan.) - a diagnostic imaging procedure that uses a combination of x-rays and computer technology to produce cross-sectional images (often called slices), both horizontally and vertically, of the body. A CT scan shows detailed images of any part of the body, including bones, muscles, fat, and organs. CT scans are more detailed than general x-rays.


magnetic resonance imaging (MRI) - a diagnostic procedure that uses a combination of large magnets, radiofrequencies, and a computer to produce detailed images of organs and structures within the body.


blood -*test*-('")s


urine -*test*-('")s
Life-long considerations for a child with microcephaly:
There is no treatment for microcephaly that will return the baby's head to a normal size or shape. Since microcephaly is a life-long condition that is not correctable, management includes focusing on preventing or minimizing deformities and maximizing the child's capabilities at home and in the community. Positive reinforcement will encourage the child to strengthen his/her self-esteem and promote as much independence as possible.


The full extent of the problem is usually not completely understood immediately after birth, but may be revealed as the child grows and develops.



Children born with microcephaly require frequent examinations and diagnostic -*test*-('")ing by their physician to monitor the development of the head as the child grows. The medical team works hard with the child's family to provide education and guidance to improve the health and well being of the child.



Genetic counseling may be recommended by the physician to provide information on the recurrence risks for the disorder and any available -*test*-('")ing.


Can anyone here give me any info on this until I can reach dr stevenson--does anyone have experience with this

countrygal- 08-19-2005
I called the clinic and they gave me his office number(he is located in Charlottesville but comes to this area onced a month for the clinic)I am now awaiting a call back but it wont be till Monday--seems hes not in today dry.gif I also put in a call to Angel's new ped but they said to call back at 3:30 when she doesnt have any patients and she can speak with me personally.

I looked it up on Angel's records

someone please let me know if this sounds right to you
The docs have always said she has a small head but never seemed concerned and never mentioned Microcephaly

Head circumference
3 months--12 1/4
3 1/2 months--13
4 months--13 3/4
6 1/2 months--15
8 months--16
9 months--16
12 months--16 1/4
15 months--16 3/4
20 months--17
24 months--17 1/4
After age 2 they just dont have anything recorded--I dont really know if she followed the curve after this or not sad.gif
I dont think its effecting her--shes smart,funny but sometimes complains of headaches
I am curious as why he just stuck that in there without discussing it with us--finding info out like that really sucks
Let you know what I find out when I can

countrygal- 08-29-2005
The ped was a little upset that we had to see something like that on an actual document, she said that was a terrible way to find something out.

She said Angel is in the 2 percentile meaning she is on the charts
That small head does mean small brain but she is not worried about Angel's head circumference right now because she is a very bright little girl.
Also said some preemies tend to grow at a smaller rate even head size.
She said if problems occur in the future with learning abilities,headaches etc... then we would check things out--but for right now Angel just has a smaller head,brain than her peers.


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