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Pdd epilepsy judith bluvstien

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  • Abstract thinking “u can take the horse to the water but u can not make it drink” Restricted interests: car brands, numbers, dates, dinosaurs, trading cards, etc
  • Language not neccesarily delayed, can be peculiar in content or quality, for example prosody.
  • Mode B much less common 1/4 Think about epileptic encephalopathies, degenerative disorders, etc
  • Fetal testosterone dysregulation May play a role in autism. Autism research centre Cambridge UK. Refrig mothers: cold distant rejecting
  • Absence of proof is not proof of absence…
  • Writer Learned icelandic in a couple of weeks Had seizures as a child…
  • Transcript

    • 1. This presentation was part of the 2010 faces (Finding A Cure for Epilepsy and Seizures) sponsored Event Lecture Series. For more information about faces please visit us at www.nyufaces.org
    • 2. Pervasive Developmental Disorder, Autistic Spectrum Disorder and Epilepsy: What is the link? Judith Bluvstein, MD Assistant Professor of Neurology
    • 3. What is PDD/ASD?
      • Wide spectrum of lifelong neurological conditions that affect socialization and communication:
      • Impaired social interaction
      • Verbal and non verbal language disorder
      • Deficit in abstract thinking
      • Restricted interests and behaviors
    • 4.
      • So… how does it impact?
      • Social reciprocity (social interaction)
      • Communication realm (language)
      • Abstract thinking (imaginative play, later on academics)
    • 5. Specific disorders
      • Autism
      • Asperger’s disorder
      • Childhood disintegrative disorder
      • Pervasive developmental disorder NOS
    • 6. How to recognize it?
      • Mode A:
      • Child with developmental delay with more obvious social deficits as time goes by
      • Mode B:
      • Child with language/social/cognitive regression
    • 7. On a day to day?
    • 8. How frequent is it?
      • 3-6:1000 ASD
      • 10-15:10000 Autistic disorder
      • Latest increase may be due to improved and earlier recognition, possible overdiagnosis, etc
      • Boys:girls 3-4:1
    • 9. Many, many theories…
      • Hormonal theory (Dr Baron Cohen’s fetal testosterone theory)
      • Toxic theory (heavy metals, thimerosal)
      • Diet/nutritional theory (gluten/casein/lactose)
      • Immune system theory (vaccines, fevers)
      • “ Refrigerator mother” theory (Leo Kanner late 40’s)
    • 10. Diagnosis
      • See a pediatric neurologist
      • Think about genetics
      • Think about metabolism
      • Visualize the brain
      • Rule out what can’t be seen in daytime
    • 11. Some genetic causes
      • Tuberous Sclerosis
      • Fragile X syndrome
      • Rett’s syndrome
      • Angelman
    • 12. Some metabolic causes
      • What makes proteins
      • What makes fat
      • Sugars
      • Our cell’s lungs
    • 13. What is Epilepsy?
      • Many seizures
      • Abnormal brain waves
    • 14. What is a seizure?
      • Abnormal electrochemical “communication” between neurons
      • They look different based on location
    • 15. Is there more than one type?
      • Focal
      • Generalized
      • Focal with secondary generalization
    • 16. Causes of Epilepsy
      • Familial
      • Infections
      • Structure
      • Injuries
      • Metabolic
      • Others still unknown in 2010
    • 17. PDD and Epilepsy
      • Increased risk of epilepsy
      • 7 to 46 % higher risk
      • The more neurological compromise, the more of a chance of epilepsy
      • More common when an organic cause is found
    • 18. Remain alert!
      • Kids with autism may not be able to tell a seizure
      • Medications should be managed very very carefully
      • Sleep should be screened
      • Some medications for seizures can help behavior
    • 19. Excerpt from "Born on a Blue Day” by Daniel Tammet
      • “ I was born on January 31, 1979 -- a Wednesday. I know it was a Wednesday, because the date is blue in my mind and Wednesdays are always blue, like the number 9 or the sound of loud voices arguing. I like my birth date, because of the way I'm able to visualize most of the numbers in it as smooth and round shapes, similar to pebbles on a beach. That's because they are prime numbers: 31, 19, 197, 97, 79 and 1979 are all divisible only by themselves and 1. I can recognize every prime up to 9,973 by their "pebble-like" quality. It's just the way my brain works.”
    • 20.
      • Thank you!