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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Child Had A Severe Brain Stroke, Aphasia. Cannot Pronounce, Speak. Cannot Understand Properly. Treatment?

MY DAUGHTER SUFFERED FROM SEVERE BRAIN STROKE AT AGE 3 YEAR ON 12/7/11 DUE TO MOYA MOYA DISEASE.ATFER STROKE PARTIAL PARALYSIS OF RIGHT LEG AND HAND OCCURED.AFETR FEW DAYS SHE RCOVERED FROM PARALYSIS BUT HER RIGHT HAND IS WEEK AND CANNOT USE FOR CATCHING ANY MATERIAL. BUT MAIN PROBLEM IS THAT SHE SUFFERED FROM APHASIA.AND CANNOT PRONOUNCE ANY WORD ALTHOUGH SHE CAN SHOUT ,CRY AND MAKE OTHER SOUND, AFTER ABOUT SIX MONTHS SHE STARTED TO SPEAK SOME VERY SIMPLE WORD LIKE MA MA ,BA ETC BUT AT THAT VERY PERIOD SHE AGIN SUFERED FROM PNEUMONIA AHTER WHICH SHE AGAIN BECAME UNBLE TO SPEAK ANY WORD.ALTHOUG SHE TRIES HARD TO SAY SOMETHING.HER AGE NOW IS 5 YEAR. SHE IS NOW TAKING ENCORATE SYRUP AND PREXARON SYRUP.SHE IS ALSOSUFFERING FROM SOME KIND OF UNDESTANDING PROBLEM BECAUSE SHE CANNOT UNDERSTAND IF WE SAY SOMETHING TO HER AS SHE LOOKS AT US .SHE HAS NO HEARING PROBLEM AS SHE RUNS TO THE MOBILE WHEN IT RINGS. PSE SUGGEST WHAT TO DO FOR RECOVERY OF HER SPEECH.WE STARTEDSPEECH THERAPY BUT SHE DOES NOT COOPERATE.DROOILNG IS ALSO SEEN IN HER MOUTH.
Wed, 22 May 2013
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Pediatrician 's  Response
Hi,

Thank you for your query on Healthcare Magic.

Repeated and recurrent strokes will occur in Moya-Moya disease.

The loss of speech is due to involvement of the brain speech area which usually present in dominant hemisphere.

Physiotherapy is the mainstay of therapy to improve the muscle power.

Continue the medication as advised by the doctor.

Inability to understand may be due to problems in receptive area of speech.

But objective hearing test should be done to know the level of hearing.

Continue speech therapy.

Consult a pediatric neurologist and be in regular follow up with him, physiotherapist, and speech therapist.

Hope I have answered your query.

Regards.
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Child Had A Severe Brain Stroke, Aphasia. Cannot Pronounce, Speak. Cannot Understand Properly. Treatment?

Hi, Thank you for your query on Healthcare Magic. Repeated and recurrent strokes will occur in Moya-Moya disease. The loss of speech is due to involvement of the brain speech area which usually present in dominant hemisphere. Physiotherapy is the mainstay of therapy to improve the muscle power. Continue the medication as advised by the doctor. Inability to understand may be due to problems in receptive area of speech. But objective hearing test should be done to know the level of hearing. Continue speech therapy. Consult a pediatric neurologist and be in regular follow up with him, physiotherapist, and speech therapist. Hope I have answered your query. Regards.