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INTRO

Neuro Developmental Disorders Intro

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Despite the fact that the term "neurodevelopmental disorders" has a long history, it was not included in prior editions of the ICD or the DSM. The term refers to a group of early-onset disorders that affect both cognitive and social communicative development, are multi-factorial in origin, have significant sex differences with males being more commonly affected than females, and have a chronic course with impairment lasting into adulthood. The term separates these diseases from other more prevalent childhood disorders, such as anxiety and mood disorders, which were assumed to be the result of some form of psychosocial stress and to have a more episodic history. Following extensive research, we divided these disorders into five major categories, each with its unique system: 1. Motor Disorders 2. Communication Disorders 3. Intelectual Developmental Disorders 4. Emotional and Behavioral Disorders 5. Specific Learning Disorder We st

Cognitive Deficits

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Cerebellar patients exhibit subtle cognitive deficits, such as an impaired ability to estimate time intervals, in addition to movement disorders. Dementia, amnesia, and delirium are examples of cognitive disorders. Patients with these disorders are no longer fully oriented to time and space. The diagnosis of a cognitive disorder may be temporary or progressive, depending on the cause. The disease can cause any cognitive disorder. The treatment for each cognitive disorder is determined by the specific diagnosis, but the treatments are never curative. Treatments are instead intended to alleviate patients' symptoms. Current research is aimed at better understanding the underlying causes of cognitive disorders and developing better treatments for them. Types In the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-V), cognitive disorders are classified as neurocognitive disorders. Cognitive disorders are defined as any disorder that significa

Bradykinesia

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Bradykinesia is defined as a delay in initiating movements. Cerebellar patients take longer to initiate movements, often because they must actively plan sequences of movements that normal people do automatically. Bradykinesia is similar to akinesia, which is characterised by delayed responses, freezing during movement, or inability to move. People frequently use the terms bradykinesia, hypokinesia, and akinesia interchangeably, but they are not interchangeable: Hypokinesia means “smallness of movement.” Akinesia means “absence of movement.” Bradykinesia means “slowness of movement.” Symptoms A person with bradykinesia may have immobile or frozen muscles in addition to slow movements and reflexes restricted facial expression a stumbling gait or dragging a foot while walking difficulty performing repetitive tasks such as typing difficulty speaking and swallowing These can have an im

Nystagmus

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Nystagmus is an oscillatory eye movement brought on by vestibulocerebellar damage. Remember that the cerebellum adjusts the vestibuloocular response's gain as one of its functions. The eyes may continue to oscillate as a result of cerebellum damage if this circuitry is disrupted. Types Adults and children can both experience nystagmus. There are two: acquired and congenital. Congenital nystagmus Between the ages of six weeks and three months, symptoms in infants with this condition begin to appear. Congenital nystagmus is a form of nystagmus that is present from birth. Sometimes it is passed down from parents to children, though the precise reason why isn't always known. Congenital nystagmus in children typically affects both eyes. Vision blurring is the primary symptom. Acquired nystagmus Acquired nystagmus, as opposed to congenital nystagmus, appears later in life. Usually, drugs or an underlying medical condition are to bl

Intention Tremor

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The increasingly oscillatory trajectory of a cerebellar patient's limb during a target-directed movement is referred to as intention tremor. For instance, the hand may begin moving back and forth as it approaches the target after initially moving straight towards it. In this case, the patient must slow down and approach the target very carefully. Keep in mind that this tremor differs from the resting tremor caused by Parkinson's disease, which goes away once a movement is made. When the hand is still, there is no intention tremor; however, towards the end of a target-directed movement, it manifests. A tremor is more broadly defined as any rhythmic and uncontrollable movement connected to one or more body parts. Intention tremors, which are any tremors that take place during a voluntary movement, are categorised as a common type of kinetic tremor, one of the many different types of tremors. Action tremors are another name for kinetic tremors, which happen while performing

Hypotonia

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Another sign of cerebellar damage is hypotonia. There is a diminished, pendulous myotatic reflex because, after the initial reflex contraction, the muscle resistance tends to make the limb swing back and forth. Numerous conditions that affect the central and/or peripheral motor nervous systems can present clinically as hypotonia. A thorough history, physical examination, and diagnostic tests are essential evaluation steps that are necessary for making an accurate diagnosis. The term "cerebral" (or "central") hypotonia suggests pathogenesis from anomalies in the central nervous system, and related causal disorders include cerebral dysgenesis and genetic or metabolic disorders. In contrast to peripheral (lower motor neuron) causes, which frequently result in both hypotonia and muscle weakness, patients with central hypotonia typically have hypotonia without accompanying weakness. A logical, stepwise diagnosis is necessary because hypotonia is a clinical sign o

Dysarthria

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Dysarthria (pronounced “dis-AR-three-uh”) is a motor speech disorder that makes it difficult to form and pronounce words. Motor speech disorders occur when damage to your nervous system prevents you from fully controlling parts of your body that control speech, like your tongue, voice box (larynx) and jaw. Dysarthria makes it challenging to speak so that others can understand you. Dysarthria can be developmental or acquired: Developmental dysarthria happens due to brain damage during fetal development or at birth. For example, cerebral palsy can cause dysarthria. Children tend to have developmental dysarthria. Acquired dysarthria happens as a result of brain damage later in life. For example, a stroke, a brain tumor or Parkinson’s disease can lead to dysarthria. Adults tend to have acquired dysarthria. People with dysarthria understand language. They know what they want to say and how to say it. It’s just that muscle weakness makes speaking difficu

Dysdiadochokinesia

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Dysdiadochokinesia (DDK) is the term for the inability to make quick, alternate movements, frequently as a result of a deeper issue. When changing a light bulb, for example, people can typically switch between opposing movements quickly and with coordination. The muscle response, particularly in the upper and lower limbs, will be slow or unnatural for a person with DDK. Poor coordination can be demonstrated by quickly tapping one's foot or finger, opening and closing one's fist, or changing the muscular position of one's body from flexion (bent) to extension (straight). Symptoms DDK typically affects the larynx, which controls speech, as well as the muscles in the arms, hands, legs, and feet. Dysdiadochokinesia is a sign of ataxia, a group of neurological conditions. Ataxia patients may exhibit any of the following signs: balance and walking issues, including slowness or awkward movements having trouble coordinating your hands, arms,

Dysmetria

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A physical movement's ability to be controlled in terms of speed, distance, or range is referred to as dysmetria. Dysmetria can cause people to overshoot or undershoot their movements. Additionally, they might have trouble keeping their balance or coordinating their speech and eye movements. A person with dysmetria has trouble controlling their range of motion, as well as their movement's distance and speed. Dysmetria can be brought on by traumatic brain injury, stroke, brain tumors, and a variety of other conditions. Causes When the cerebellum, a region of the central nervous system that integrates visual, spatial, and other sensory inputs with motor control to coordinate and plan movement as well as maintain balance, is damaged, dysmetria is a usual outcome. Damage to the cerebellum or to the nerves that carry sensory information to it can make it difficult to determine when and where movements should stop; this difficulty is referred to as undershooting or

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