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3 results

  • 1188 – Motor Disturbances In Autistic Children: Cross Sectional, Controlled Study

  • D. Ali, S. Effat, D. El Serafi
  • Journal:
    European Psychiatry / Volume 28 / Issue S1 / 2013
    Published online by Cambridge University Press:
    15 April 2020, 28-E559
    • Article
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  • Background

    Children with autism have developmental motor profile that differ from other healthy children. This is evident since early childhood, sometime noted by parents and neglected by clinicians. These motor deficits are related to other domains of dysfunction in children with autism as social and language skills .Improving motor deficits can help better prognosis for these children.

    Aim

    To detect motor deficits in a sample of autistic children and correlate them with the severity of autistic symptoms.

    Methods

    We recruited 20 autistic children ranging from 3 to 6 yrs from the Institute of psychiatry outpatient child psychiatry and rehabilitation clinics of Ain-Shams university hospital .We excluded patients having total intelligence less than 75 or having other developmental disorder. We matched them with healthy controls for age and sex and compared both motor development and self help skills using Brigance scale. We confirmed diagnosis of autism in each patient by applying ICD-10 criteria of autism by a senior psychiatrist and by having a Childhood Autism Rating Scale (CARS) score above 30. Relation of autism severity and motor deficits was assessed later by Correlation co-efficient test.

    Results

    Compared to controls, autistic children showed statistically significant low Brigance test scores on; gross movement, fine movement and self-help skills subdomains .Motor delay was significantly correlated with the severity of autism.

    Conclusions

    Motor deficits were evident in autistic patients and could indicate severity

  • Appendix 1: - Management algorithms

  • Edited by Clare J. Fowler, Jalesh N. Panicker, Anton Emmanuel, University College London
  • Book:
    Pelvic Organ Dysfunction in Neurological Disease
    Published online:
    06 December 2010
    Print publication:
    04 November 2010, pp 307-311

  • Summary

    This chapter discusses the role of the cortical and subcortical areas in the control of pelvic organs. It presents case histories, the lesion literature, effects of injury or disease at focal sites. The results of diffuse cortical and subcortical diseases are then considered. The temporal lobes have little or no apparent influence on bladder or bowel control but a major role in determining sexual behavior. Cerebrovascular disease is often accompanied by bladder dysfunction. The severity, extent and site of brain damage following brain injury are so variable that generalizations about the effect of traumatic brain injury on pelvic organ dysfunction are impossible. Recommendations have been made to treat specific aspects of sexual dysfunction following traumatic brain injury. An expected correlation is seen between the occurrence of a neurogenic bladder and the severity and extent of brain damage so that urodynamic abnormalities have been associated with motor deficits.

  • 26 - Nontraumatic Spinal Cord Emergencies

  • from SECTION III - SPECIFIC NEUROLOGICAL CONDITIONS
  • Edited by Sid M. Shah, Michigan State University, Kevin M. Kelly, Drexel University, Philadelphia
  • Book:
    Principles and Practice of Emergency Neurology
    Published online:
    06 August 2009
    Print publication:
    18 February 2003, pp 263-272

  • Summary

    Nontraumatic spinal emergencies can be caused by a wide spectrum of conditions including infection, hemorrhage, and neoplasm. The most common findings in patients with spinal emergencies are pain, motor deficits, sensory deficits, abnormal reflexes, and urinary dysfunction. Acute back pain is the only symptom of catastrophic spinal emergencies such as spinal hemorrhage or infection. Sudden paralysis can result from trauma, cord infarction, or hemorrhage. Even though a thorough sensory examination in the emergency department is often difficult and unreliable, complexes of sensory and motor abnormalities are helpful. As a result of the anatomical distribution of upper and lower motor neurons, acute spinal cord lesions almost always present with hyperreflexia. The mechanism of urinary incontinence depends on the type of lesion. Spinal cord emergencies frequently go unrecognized initially or are misdiagnosed even with such obvious symptoms as the inability to walk or bladder function failure.