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AUTISTIC DISORDER INTRODUCTION § Impairment in o Social interaction o Communication o Eye o AUTISTIC DISORDER INTRODUCTION § Impairment in o Social interaction o Communication o Eye o Gesture o Speech o Developmentally appropriate behavior, interest or activities § Stereotypical body movements, a marked need for sameness, and a very narrow range of interest are also common. § Onset prior to age-3 yrs § Differential diagnosis o Other PDD (pervasive developmental disorder) o Mental retardation not associated with PDD

o o o Specific developmental disorder ( language) Early onset of psychosis ( schizophrenia) o o o Specific developmental disorder ( language) Early onset of psychosis ( schizophrenia) Social anxiety Obsessive compulsive disorder Stereotypic movement disorder Rarely childhood dementia § Prevalence rate- 1 in 500; male: female ratio- 4: 1 § Pathology – § Normally in first 2 yrs of life o Tremendous neuronal and axonal growth o synapse formation o Myelination § In autism the head circumference normal or slightly reduced at birth until 2 months age

§ An abnormally rapid increase in head circumference from 6 - 14 month age, § An abnormally rapid increase in head circumference from 6 - 14 month age, largely concluded by the end of 2 nd yr 2 -4 yr increased brain volume esp frontal, temporal, cerebellar and limbic regions, the areas responsible for higher order cognitive, language, emotional and social functions, which are most impaired in autism. This early accelerated brain growth appears to stop early in childhood followed by abnormally slow or arrested growth, resulting in underdeveloped and abnormal circuitry in parts of brain § Miasm – multi miastic predominantly tubercular. ○ Psora- heightened sensitivity - Visual scanning of hand - Mouthing of objects - Rubbing of surfaces o Sycosis-; solo play; stereotypes, increased brain volume o Tubercular- hyperactivity, extraordinary skills, erratic brain growth o Syphilis- self injurious behaviour, destructivenes, decline in brain growth

§ Etiology- “spontaneous” paternal or maternal genetic mutations that delete or inactive areas of § Etiology- “spontaneous” paternal or maternal genetic mutations that delete or inactive areas of the genome affecting early brain development § Treatment o Aim- to maximize the Childs ultimate functional independence and quality of life. o Begin intervention as early as possible. o Intensive intervention 25 hr/wk, 12 month/yr – Speech therapy – Occupational therapy – Behavioral therapy – Cognitive therapy – Individualized educational program – Vocational training – Homoeopathy

§ Prognosis o Most of the children continued to be dependents as adults o § Prognosis o Most of the children continued to be dependents as adults o The outlook will be very much improved by integrating homoeopathy treatment with otherapy

AUTISM WITH HYPERACTIVITY § Case 22 -12 -08 – – 10 kg 1. 11 AUTISM WITH HYPERACTIVITY § Case 22 -12 -08 – – 10 kg 1. 11 yr boy brought for the complaints of no speech development, no eye contact, not mingling with anyone and hyperactivity Child vaccinated up to 9 month Between 1 - 1. 5 yr the child was tied, not allowing him to go out of house Recurrent fever and cold treated in allopathy Homoeopathy history – – – Anger with head banging on floor if interfered Falls to ground with anger Fear noise (2) D- travelling Thirst- frequent sips

– Scanty perspiration – D- sweets(2), chalk, slate pencil, lime – Sleep on back – Scanty perspiration – D- sweets(2), chalk, slate pencil, lime – Sleep on back – Dentition- 9 month with diarrhea – Lean, fair – Thumb sucking+++ , restlessness+++ DD – thuja, bell, calc. carb R/ 1. Speech, occupational and behavioral therapy at home by parents for economical reasons 2. Thuja 30 c 1 dose 3. SL 1 month 21 -01 -09 – Mild URI- 15 days – Momentary eye to eye contact – Started smiling 10 kg

– Speech: daddy, mummy – Comes when called – Admonition < – Running nose – Speech: daddy, mummy – Comes when called – Admonition < – Running nose on and off R/ 1. SL 1 month 26 -2 -09 – – – – A little sustained eye contact Looks and comes when called Started playing with kids, not fully coordinated Reduced thumb sucking Begin to concentrate whatever he does Normal bladder and bowel control Anger- head banging on floor when scolded 10 kg

– Neck glands++ R/ 1. SL 1 month 27 -03 -09 – – – – Neck glands++ R/ 1. SL 1 month 27 -03 -09 – – – Chicken pox- 20 days back Scared of certain ads, hides and watches Dancing with loud banging music Likes bright color Strikes if he is stopped DD- bell, tarent R/ 1. Belladonna 30 c 1 dose 2. SL 1 month 10 kg

06 -06 -09 10. 250 kg – Acute viral fever – a/f head bath, 06 -06 -09 10. 250 kg – Acute viral fever – a/f head bath, before full moon – Stool- frothy; occ, offensive – Heat- moderate T-101. f – Quiet disposition; thumb sucking+++; taking feeds – Weeps, kicks when touched – Thirst less R/ 1. SL 2 days 2. Tepid sponging 16 -06 -09 – – – 10. 250 kg Communicates his needs by gesture ( listening to music) More sustained eye contact Understand if asked to go a specific person

– Speech- two single words with increased babbling – Head banging reduced R/ 1. – Speech- two single words with increased babbling – Head banging reduced R/ 1. SL 1 month 29 -07 -09 10. 750 kg – Jumping and dancing with songs – Admonition < – Anger- somersault, head banging reduced – Cannot tolerate hunger – Hyperactive+++ – Revolving around him, climbing, hanging up side down R/ 1. Belladonna 200 c 1 dose 2. SL 1 month

24 -09 -09 11 kg – Increasing gestural and eye to eye communication – 24 -09 -09 11 kg – Increasing gestural and eye to eye communication – Attaches to class teacher – Clings and roams behind mother – Strikes brother if he shouts – Retaliates if beaten(3) [ identity established] { robo} R/ 1. Belladonna 200 c 1 dose 2. SL 1 month 06 -10 -09 – Acute viral fever – Running nose t- 100. 6. f – D- carry R/ 1. SL- 2 days 11 kg

09 -12 -09 – Mild URI- 2 days – Running nose, watery, whitish – 09 -12 -09 – Mild URI- 2 days – Running nose, watery, whitish – thirsty – Speech four single words – Plays tag( chasing game) – Eye to eye contact ++, communication++ – Sleep on left – D- sweets – Talking himself R/ 1. SL 1 month 26 -01 -10 – Mild URI – Heat , midnight after(5 am); t-100. f 11. 500 kg

– Cough occ; running nose; watery; light yellow – Coordinated while playing with kids – Cough occ; running nose; watery; light yellow – Coordinated while playing with kids – Speech- ten single words; telling words if taught – Jumping reduced; talking himself+ – Scratches others during anger R/ 1. SL 1 month 24 -02 -10 – Acute viral fever- 2 days – Heat < 6 pm; t- 100. 3. f – Running nose – Attachment with teacher R/ 1. SL 2 days 11. 500 kg

05 -05 -10 12 kg – Skin eruption ++ – Eye to eye contact++; 05 -05 -10 12 kg – Skin eruption ++ – Eye to eye contact++; communication++ – Rage- scratches parents, head banging+ – Has to retaliate(3) – D- banana R/ 1. Tub 200 c 1 dose 2. SL 1 month 26 -07 -10 – Bites his own hand show – White coating at base of tongue R/ 1. Nat. phos 1 m 1 dose 2. SL 1 month 13 kg

25 -10 -10 13. 250 kg – Mild URI- 1 day – Running nose; 25 -10 -10 13. 250 kg – Mild URI- 1 day – Running nose; watery – AOM- right side – Palilalia R/ 1. SL 4 days 25 -12 -10 13. 500 kg – No palilalia R/ 1. Thuja 30 c 1 dose 2. Tub 200 c 1 dose( next day) 3. SL 1 month 09 -07 -11 – Peeling of skin – Answer to question 14 kg

– Keep things in proper place R/ 1. SL 1 month 2. Plan - – Keep things in proper place R/ 1. SL 1 month 2. Plan - regular school 13 -10 -11 – No more autistic – Invites relatives – Kept on eating; d- hotel food – Av- meat(3) – Perspiration – forehead – Fear- dark – Bites, strikes with anger – Not listening if told harshly – Has to retaliate R/ 1. SL 1 month 2. Admitted in regular school in L. K. G 16 kg

07 -12 -11 – Now tells all words of objects( visual memory) – Cooperative 07 -12 -11 – Now tells all words of objects( visual memory) – Cooperative while playing game with brother – Sing a song on request – Jumping reduced; walking reduced – Performs well in school(writing, rhymes) R/ 1. SL 1 month 16. 500 kg