a case of cerebral palsy prof g r mohan visiting professor for practice of medicine pg vinayaka...

A case of cerebral A case of cerebral palsypalsyProf G R MohanProf G R MohanVisiting Professor for Practice of medicine PGVisiting Professor for Practice of medicine PGVinayaka Mission’s Homoeopathic medical college & Vinayaka Mission’s Homoeopathic medical college & hospital, Salem,TNhospital, Salem,TNCCH PG GuideCCH PG Guide

Homeopathy 4 Everyone – January, 2007

“Cerebral palsy is an umbrella-like term used to describe a group of chronic disorders impairing control of movement that appear in the first few years of life and generally do not worsen over time”

Magnitude of Magnitude of problemproblem

According to The United Cerebral Palsy According to The United Cerebral Palsy Association that more than 500,000Association that more than 500,000 Americans are affected. In India, cerebral Americans are affected. In India, cerebral palsy is 2per 100 live births (Gai)palsy is 2per 100 live births (Gai)

causescauses

Prematurity,Prematurity, In utero disorders,In utero disorders, Neonatal jaundice,Neonatal jaundice, Birth trauma, and Birth trauma, and Perinatal asphyxiaPerinatal asphyxia

MATERNAL CAUSES

2

8

1

18

Consanguinity

Diseases in antenatalperiod

Deliveryforceps

Cause not known

Slow development of milestones such as head holding, learning to roll over, sit, crawl, standing and walking

clinical clinical presentationpresentation

0

2

4

6

8

10

12

14

NO.OF CHILDREN

Premature Birth Asphyxia Jaundice Seizures

PROBABLE CAUSE

CAUSES IN NATAL PERIOD

Series1

Mode of presentation in a case Mode of presentation in a case of of cerebral palsycerebral palsy

Mental retardation- Mental retardation- Delayed developmental Delayed developmental disorders- disorders- ParalysisParalysis - - Speech delay- Speech delay- Drooling-Drooling- Hyperactive- Hyperactive- Movement disorder- Movement disorder-

DiagnosisDiagnosis

cerebral palsy can rarely be cerebral palsy can rarely be diagnosed with certainty during early diagnosed with certainty during early infancy, and specific syndromes infancy, and specific syndromes often cannot be characterized until often cannot be characterized until age 2 yr. age 2 yr.

Homoeopathic conceptHomoeopathic concept

The miasmatic predominance in both parents accounts for this genetic defect. The miasmatic influence run in the families of both parents. The Syphilitic miasm is the main cause for the development of Cerebral Palsy. The syphilitic miasm disturb the metabolism of the higher centers to produce deficient growth from brain to bone and blood.

Kent's viewKent's view

““It is impossible to get It is impossible to get

the symptoms andthe symptoms and

wants of a childwants of a child

especially in an infant expect by especially in an infant expect by interpreting interpreting

its Gestures”.its Gestures”.

Bogers viewBogers view

““Objective phenomena being the Objective phenomena being the least deceptive, by their great utility least deceptive, by their great utility have contributed much to the have contributed much to the brilliant success of Homoeopathy, brilliant success of Homoeopathy, particularly in the diseases of particularly in the diseases of children”children”

Baby ‘A’aged 5y.8m, was brought to my clinic on Baby ‘A’aged 5y.8m, was brought to my clinic on 16/10/2k1 with following presentations 16/10/2k1 with following presentations

Child is calm, shy natured, anemic, thin built, Child is calm, shy natured, anemic, thin built, under nutritious, can speak few words, not clear, under nutritious, can speak few words, not clear, no toilet control, dependent , No interaction with no toilet control, dependent , No interaction with peer grouppeer group

Timidity, lack of attention, Fear, sitting difficulty, Timidity, lack of attention, Fear, sitting difficulty, Standing difficult , Walking impossible,. Squint, Standing difficult , Walking impossible,. Squint, increased movement Of eye balls Can recognizes increased movement Of eye balls Can recognizes parents few family members, sensitiveness to parents few family members, sensitiveness to dampnessdampness

Maternal / History :Maternal / History :

Delivery: hospital normal Delivery: hospital normal delivery, full term, low delivery, full term, low birth weight ,birth weight ,

B /H: cry delayedB /H: cry delayed

(5M),(5M),

F/H: Consanguinity F/H: Consanguinity Mental age:1.8y---Mental age:1.8y---

Cronological age :5.2YCronological age :5.2Y I Q: 34%I Q: 34% DIA: S D D M D (CP)DIA: S D D M D (CP) T/ H: modern T/ H: modern

medicine :3Ymedicine :3Y

Physio Therapy: from Physio Therapy: from 7th month,7th month,

Vaccination H / oVaccination H / o

Weight:11kgs, height:3.2”Weight:11kgs, height:3.2” spasticity of limbs, tone spasticity of limbs, tone

increased ,gait: imbalance ,increased ,gait: imbalance ,

Calc-p was selected on the bases of Calc-p was selected on the bases of above symptoms as child was not in above symptoms as child was not in position to express her symptoms, only position to express her symptoms, only on objective symptoms were considered. on objective symptoms were considered. ((kent,boericke,lotuskent,boericke,lotus))

17/10/2k1 cal pos 200, 17/10/2k1 cal pos 200, 3d.were given.3d.were given.

21/11/01 not much 21/11/01 not much change, cal pos 200, change, cal pos 200, 3d.were repted 3d.were repted

3/2/02 not able to stand 3/2/02 not able to stand with support ,able to sit with support ,able to sit for few minutes , for few minutes , concentration :okconcentration :ok

poor memory ,not able poor memory ,not able walk with support , walk with support , speech no change,speech no change,

Cal pos 1M, 1d.was given.Cal pos 1M, 1d.was given. Sl for 1month,Sl for 1month,

12/3/02 : standing with support for 5m ,able to sit for half an 12/3/02 : standing with support for 5m ,able to sit for half an hour , concentration :okhour , concentration :ok

,not able walk with support , speech no change,not able walk with support , speech no change Tuberculinum 1m was given, sl for 2 monthsTuberculinum 1m was given, sl for 2 months 1/07/02: walking with support, able to talk few words,1/07/02: walking with support, able to talk few words, fear of falling timidity, C P10m 1d, 45 days SL was given.fear of falling timidity, C P10m 1d, 45 days SL was given. 3/12/02 speech: satisfactory, clarity was less, grasping : 3/12/02 speech: satisfactory, clarity was less, grasping :

better, getting up with support,better, getting up with support, walking with support,walking with support, C P10m 3d were given, sl for 2months was given.C P10m 3d were given, sl for 2months was given.

Child was brought after 5months as Child was brought after 5months as they 600km away from Hyderabad,they 600km away from Hyderabad,

12/06/03 weight:16kgs, standing for 12/06/03 weight:16kgs, standing for 30 minutes without support, sitting 30 minutes without support, sitting for hours ,talking with clarity, with for hours ,talking with clarity, with breaks, Tuberculinum 1m was breaks, Tuberculinum 1m was given along with SL for 60 days .given along with SL for 60 days .

11/09/03 able 11/09/03 able to stand to stand without without

support( visusupport( visual)al)

IMP90%IMP90%

AL9AL9

ReferenceReference:: 11) Behrman, Klieg man, Jenson, Nelson, text book of pediatrics, ) Behrman, Klieg man, Jenson, Nelson, text book of pediatrics,

16ted,16ted, Harcourt Asia ple Ltd .Harcourt Asia ple Ltd . 2) Ghai.O.P Essential Pediatrics, Inter print.2) Ghai.O.P Essential Pediatrics, Inter print. 3) Foubister .D. M, Homeopathic prescribing in childhood, vol 3) Foubister .D. M, Homeopathic prescribing in childhood, vol

lxvi no 1, 1951, Jul, the Homoeopathic recorder.lxvi no 1, 1951, Jul, the Homoeopathic recorder. 4) Tirthankar Data, principles of Pediatrics, new central book 4) Tirthankar Data, principles of Pediatrics, new central book

agency (p) ltd, Calcutta- 700009-1998agency (p) ltd, Calcutta- 700009-1998 5) George E Dienst, the child, the Homoeopathic herald by Bose 5) George E Dienst, the child, the Homoeopathic herald by Bose

N C. Vol: 1941, Aug Vol no 6N C. Vol: 1941, Aug Vol no 6 6) Prashant shah, a spastic child, Vol: 1999 Apr /Jun Vol 12 no 2 6) Prashant shah, a spastic child, Vol: 1999 Apr /Jun Vol 12 no 2 7) Horst Hauptman, the significance of signs, 1992 Sept / Dec, 7) Horst Hauptman, the significance of signs, 1992 Sept / Dec,

Vol 5, no3Vol 5, no3 8) Subrata Kumar Banerjea, miasmatic diagnosis, B.Jain 8) Subrata Kumar Banerjea, miasmatic diagnosis, B.Jain

publishers (p) ltd, New Delhi.publishers (p) ltd, New Delhi. 9) Viswanath.J & Desai.A.B, Achars text book of Pediatrics,3rd 9) Viswanath.J & Desai.A.B, Achars text book of Pediatrics,3rd

edition—orient longedition—orient long 10) frontiers in Pediatric Neurology , Vol V, Oct -200110) frontiers in Pediatric Neurology , Vol V, Oct -2001

The way is not in the Sky.The way is in the Heart.

BUDDHA..

Thank Q