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Ataxia attack and associated issues in a child - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Child Health
Answered by

General & Family Physician
Practicing since : 2009
Answered : 593 Questions
Doctor :   Hi
User :   hi sir,
Doctor :   How can i help you?
User :   i already chat with you previously 3times
Doctor :   Ok
User :   regarding my daughter, she 2.3 yrs old, suffered from ataxia since last july 22
Doctor :   Ok
User :   i have consulted with doctors and they told me viral cerebeleties
Doctor :   Ok
User :   because she has suffered checken pox on april 09
Doctor :   Ok
User :   after that MRI has done to detect any cerebellar tumor exist but brain found normal the MRI was done in the july 09 and again jan 10 with 3 tesla also found normal again
Doctor :   Ok
User :   in the month oh july 09 she has taken deflazacot( cortocisteroid) 6mg dosage first week 1.5 tabs, next week 1 mg then next month o.5 mg after she taken she has improved much
Doctor :   Ok
User :   she is als doinng physical therapy with registered doctors since last 3 month
Doctor :   Ok
User :   now she is able kneel but not able to stand for while and not able to walk also
Doctor :   Ok
User :   my aprehnsion that how many days she will take to permanently cure
Doctor :   The prognosis depends patient to patient
User :   My father is child specialist he is taking care this
User :   she is improving but improvement is very slow
Doctor :   Ok
User :   is there any test we are missing for proper diagnosis
Doctor :   It will take time. You have to continue the physiotherapy
User :   for the sake of information she has not suffered from any chest congestion or any red marks in skin and also eye are normal to exclude the telengeitasis
Doctor :   Ok
User :   already i have chat with you since august 09 for my child
User :   she is also taking prpoer protein diet
Doctor :   OK
Doctor :   Electrical stimulation can sometimes facilitate the return of muscle strength
User :   but doctors here not in favour of electric stimulation
Doctor :   Ok
Doctor :   Then we should continue with the physical therapy
User :   is there any medicine or we to wait for time
Doctor :   muscles can be treated with exercise and a full or nearly full recovery can be expected
User :   you may handing with so many cases what is the avg time for cure
Doctor :   Should continue with physical therapy
User :   now physiotherpist saying muscles are comparatevely more strngth now
Doctor :   It will take at least 10 to 14 weeks
Doctor :   That is good sign
User :   10 to 14 weeks from which date
Doctor :   Date of start of physiotherapy
User :   now she is talking with palpilation and it is coming with both the legs since last 20 days what is this?
Doctor :   I did not under stand your last line
Doctor :   she is talking with palpilation ?
User :   the doctors saying a ward palpilation by contrast the toe of legs and the after that vibration occurs in the toe
Doctor :   Ok
Doctor :   You mean physiotherapist?
User :   yeah
Doctor :   OK
Doctor :   That is beyond my domain
Doctor :   I won't be able to answer that
User :   ok sir
Doctor :   You have to stop worrying
Doctor :   She will be fine
User :   i was asking abt the general time frame for cure
Doctor :   1-30 weeks
User :   i am planning for to go to NIMHANs for detailed check up , shld i wait for some more week
User :   but already 30 week passed
Doctor :   You can consult the treating doctor regarding it?
Doctor :   Where are you located?
User :   is there any active medication for this
Doctor :   No
Doctor :   You can consult the treating doctor regarding it and then decide
Doctor :   If you have to visit
User :   what u beleive sir it is the case of viral cerebeleties or any other case
Doctor :   It can be said only by the lab reports
User :   what is the name of the report
Doctor :   Spinal fluid analysis or blood analysis
User :   ok sir
Doctor :   DO you have the reports with you?
User :   no i did not go for that
Doctor :   Its is OK
User :   no body has advised also
Doctor :   You don't have to do it
Doctor :   It is risky for the patient also
User :   my aprehension that whether she will be alright?
User :   that is the reason doctor has not advised
Doctor :   She will be alright
Doctor :   You don't have to do it
Doctor :   You have done the MRI, That is enough
User :   because at the age of 12 month she was running independently but all of asudden she has suffered
Doctor :   Ok
User :   why in mri demylenation of cerebellum has not appeared ? i have also asked the doctor the same at that time ,
Doctor :   Ok
User :   why it not shown in MRI
Doctor :   It only shows in degenerative conditions
User :   here doctors say it is the antigen of virus did it so it may not appear in MRI
User :   degeneratiive means the hereditary
Doctor :   Not all
Doctor :   It is has very bad prognosis
Doctor :   Good that she did not have that
User :   ok
Doctor :   You don't have to worry so much
Doctor :   It will take time
Doctor :   You have to be patient
User :   already your said time limit of 30 weeks expired
User :   is it impact the speech problem as she is 2.3 yrs old but able say only baba, mama, etc
Doctor :   Some cases it may take little time
User :   is it because she has lack of immunity or lack of protein intake
User :   what can be the expected extended time
Doctor :   It is effect of the infection
Doctor :   Which hospital are you showing?
Doctor :   Ok
Doctor :   Did he tell you how long will it take to recover?
User :   yes sir post viral infection which occur immediately 6 weeks of checkenpox
Doctor :   Ok
User :   they also saying 10 % may be delayed and your child is the victim of this
Doctor :   Ok
Doctor :   It could be the case
User :   should we go for electric stimulation?
Doctor :   No
Doctor :   Since she is still young you should not
User :   as asked earlier is it effect the speech problem
Doctor :   It could be due to infection
User :   ohh !!
Doctor :   That her learning process has slowed down
Doctor :   You need not worry she will pick up slowly.
User :   she has remarkable memory every small thing she remembers
Doctor :   It will just take some time
Doctor :   That is a good sign
User :   she also very active the only proble is she is not able to stand and walk
Doctor :   It is just matter of time
Doctor :   She will be able to walk
Doctor :   When did do last visit your doctor last
User :   since last month and the physiotherpist is doing regularly
Doctor :   Ok
Doctor :   Then you need not worry
Doctor :   She will be fine
User :   another thing is when we hold her up she is fearing now a day is it good sign or bad
User :   any special advice which i am missing waits from u sir
Doctor :   You
Doctor :   Can consult the treating doctor and ask about it?
User :   any advice sir
Doctor :   You have to be brave and continue her physiotherapy
User :   kk sir nice to talk to u
Doctor :   All the best for her recovery
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