Q. I behave like a 10-year-old kid. Do I have dyspraxia?

Answered by
Dr. Ashok Kumar Choudhary
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Mar 05, 2020

Hello doctor,

I am a 24-year-old male. My main issue is people say that I behave like a 10-year-old boy. I think I have dyspraxia. I lack gross motor skills. I cannot play any sports. I cannot drive a car properly. People get averted due to my behavior. I have bad handwriting and I attempt things in a clumsy way. I have an unusual gait. So basically I have learning disabilities in everything. I have a migraine and bipolar depression too. People often tell me that there must be definitely some maturity problem with my brain as I behave very oddly. Please look for any developmental anomalies in my brain MRI or any abnormalities. I have attached the file.

Currently, I am using 5-HTP anti-depressant for my mood enhancement.

 

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Dr. Ashok Kumar Choudhary

Andrology Geriatrics Psychiatry Psychologist/ Counsellor Psychotherapy Sexology
#

Hi,

Welcome to icliniq.com.

As discussed earlier, there is no doubt about the diagnosis of motor coordination disorder or dyspraxia. Many of your problems can be explained on the basis of dyspraxia itself and I feel you are right in saying that you have dyspraxia. However, your current post does not contain any file or attachment for view. I request you to attach the file in proper format or possible way so I can see whether there is any structural abnormality.

I hope this helps.


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Thank you doctor,

I have attached the file.

Dr. Ashok Kumar Choudhary

Andrology Geriatrics Psychiatry Psychologist/ Counsellor Psychotherapy Sexology
#

Hi,

Welcome back to icliniq.com.

I have reviewed all the attached images (attachment removed to protect patient identity) with your query and found nothing abnormal in these images of the MRI brain. In other words, there is no significant structural abnormality among the attached images and they can be considered normal.

You may argue that how can they be normal when there are clear clinical symptoms of dyspraxia but I like to inform you that MRI (magnetic resonance imaging) cannot identify each and every abnormality in the brain.

In dyspraxia, there is connection abnormality rather than structural abnormality and may not be possible for the current set of tests to detect every abnormality. The postulated theory suggests that the brain areas responsible for particular movement fail to send signal to relevant muscles leading to movement abnormalities. There may be some subtle abnormalities in the parietal lobe of the brain or/and cerebellum in a few individuals but many of the affected children have normal structural organization when MRI imaging is done.

I hope this helps.


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