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Bilateral Optic atrophy, with corpus collosum dysgenesis - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   Dear Doctor,
I would like to ask to about my cousin 3 months boy who was born under weight and now he is 7.7kg weight.when we went to a doctor they say he is abnormal child,he could not see as the nerve in the brain is damaged. they told to take a MRI for brain.I have the MRI report can you suggest me whether it is treatable
Doctor :   Hi
User :   hello sir
Doctor :   Can you type the MRI report?
User :   sir do have a mail i will sent the scan copy the report
Doctor :   You can send the scanned copy to YYYY@YYYY
User :   right away sir
Doctor :   Else you can type in the final impression mentioned in the scan report.
User :   sir i have sent the mail
Doctor :   Give me a minute while I look at the mail.
User :   ok sir
User :   sir did u receive the mail
Doctor :   I just received your mail.
User :   okay sir
Doctor :   Let me explain to you.
User :   s sir
Doctor :   The scan reports confirm that parts of the brain such as the optic nerve (the nerve necessary for vision, cerebellem and corpus collosum) have not fully formed.
Doctor :   Since I do not have access to the scan films, I cannot predict how severely they are affected.
Doctor :   However by there reports mentioned here,
Doctor :   it is probably an irreversible condition
Doctor :   The damage might have occurred during the pregnancy.
User :   doctor as you told the corpus is not fully formed,is there a chance to form in future
Doctor :   May I know if this was your cousins first child?
User :   no sir this is 2nd son first is 4.5 yrs old
Doctor :   Is the first son completely normal?
User :   yes sir he is
Doctor :   Ok
Doctor :   Let me explain.
Doctor :   During the development of the fetus in the brain and other organs slowly start to develop\
Doctor :   and most of it structurally is developed by birth.
Doctor :   This includes the optic nerve, corpus collosum,cerebellum and all other important areas.
Doctor :   The chances of their development now after 3 months of age, is very, very unlikely.
User :   sir we are worried that god has taken the boys vision and he is with unsound mind.
Doctor :   Since I have not physically examined the child, I cannot predict what deformities he may have.
User :   is there a chance of giving vision to him by any operation or treatment,atleast with it he serve this world
Doctor :   Based on the reports, I think he may not be able to see completely.
User :   can we meet you with the child
User :   they are in salem
Doctor :   * I mean since the report mentioned bilateral optic atrophy
Doctor :   structurally vision could be affected.
Doctor :   However if some amount of optic nerve fibres have established connection to the brain some vision may be possible.
Doctor :   The percentage of vision lost can only be predicted based on test done by ophthalmologist.
Doctor :   Apart from this condition, there could be other developmental delays happening.
Doctor :   Though it is difficult to correct vision abnormalities, development and other abnormalities can be corrected by proper therapy.
Doctor :   So do not lose hope.
Doctor :   The pediatrician who is currently evaluation will be the guide you with the treatment.
Doctor :   Have you followed what I have suggested?
User :   i have
Doctor :   Do you have any other query?
User :   sir you are based in
Doctor :   I am based in Bangalore.
User :   sir can you suggest any doctors if you see the child with full report
User :   scan copy
Doctor :   I am a general physician and my practice and expertise are restricted in pediatric field.
User :   okay sir any other ref
Doctor :   The above link will show you the profile of Dr.
Doctor :   He specialises in neonatology and genetics.
User :   okay sir thanks for chat may i know your name
Doctor :   He will be the right person who can guide you.
Doctor :   I would suggest you to take an opinion from him
Doctor :   and if necessary, you may take the child to him after consulting him.
User :   ok sir
Doctor :   Have you followed what I have suggested?
Doctor :   Do you have any other query?
User :   yes sir
Doctor :   Do you have any other query?
User :   thanks sir i hope
Doctor :   Thanks for consulting me.
Doctor :   Bye for now.
User :   sir sorry i just recharged
Doctor :   Do you have any other query?
User :   sir can i sent a text like you to him will he reply
Doctor :   You can follow the link.
User :   okay sir . Thanks for your valuable time and reply
Doctor :   You can send your problem either through a mail.
Doctor :   and he will answer your question through mail
Doctor :   Alternatively you can discuss the issues over phone.
Doctor :   Since that is also a paid service, I shall request for the refund of this chat, as you opt for it(specialist opinion).
Doctor :   Hope it is clear to you.
Doctor :   Do you have any other query?
User :   how can refund
Doctor :   This chat payment will be refunded to you as you opt for the specialist opinion.
Doctor :   Do you have any other query?
User :   wil that refund come to my account
Doctor :   Yes.
User :   okay sir
Doctor :   Do you have any other query?
User :   no sir thank you
Doctor :   Thanks for consulting me.
Doctor :   Bye for now.
Doctor :   Have a nice day!!
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