Milestone regression or developmental regression is the loss of a previously attained milestone in children. It is usually an underlying neurodegenerative disorder and develops in children with Rett syndrome, Landau-Kleffner syndrome, autism, etc. The children lose the previously developed social skills, language skills, hand skills, etc. Loss of motor skills includes losing their ability to use their hands to eat, catch hold of, or do any work, legs to walk or balance, etc. Management is usually multidisciplinary. Pediatrists, neurologists, occupational therapists, and speech therapists play a prominent role in helping regain the lost skills.
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Query: Hello doctor, My daughter was a late walker. She started to walk when she was 18 months old. Now, at 20 months, it feels like she is still very unsteady and her gait is weird. I have attached a link to a video of how she walks. Please see it. Is there a real reason to be concerned or is it normal af... Read Full »
Answer: Hello, Welcome to icliniq.com. After seeing the video (attachment removed to protect patient identity), it appears that she walks with an ataxic gait. There may also be some component of spasticity (stiffness in her lower limbs). It looks a little abnormal because she is tripping and falling. This c... Read Full »
Query: Hi doctor, My son is a month away from three years old. Approximately three months ago, he started to lose the ability to walk. He is not able to stand up by making a tripod position. His balance is extremely unstable, and his grip in his hands has diminished that he cannot hold a crayon. When he do... Read Full »
Answer: Hi, Welcome to icliniq.com. I read your query and understand your concerns. I am sorry to inform you that things need to be taken care of as soon as possible. First of all, it is essential to know the diagnosis as it cannot be diagnosed in the first visit on most occasions. There is a possi... Read Full »
Query: Hi doctor, My kid has a developmental delay. He is missing his milestones. He is 1 year 10 months. He does not walk or kneel or speak yet. His TMS and GC-MS reports showed negative. We started Levi Pil syrup (Levetiracetam) based on the attached EEG report. Read Full »
Answer: Hi, Welcome to icliniq.com. I read your query and understand your concerns. Regarding the prescription of Levetiracetam, it is completely right as there is evidence of absence seizures indicated by EEG (electroencephalogram). Regarding developmental delay, there is a need f... Read Full »
Query: Hello doctor,A 26 month old girl stopped talking at 19 months and started showing less response and a medical assessment was done and termed the child as differently abled. Some home therapies were done and the child was then allowed to interact with more people and now she showed drastic improvemen... Read Full »
Answer: Hello, Welcome to icliniq.com. Please get an MRI brain done with a repeat EEG to rule out any anomalies in the brain and its functioning. From your history, this seems more like a psychological issue rather than anything else, very important clues being that the child was apparently alright and h... Read Full »
Query: Hello doctor, My son is 4 years old. At one and a half years, he was able to talk and copy words fluently but after 2 plus, he stopped talking logical words. He can copy words if he wants though. He has fear of darkness and instant high volume sound. Night watching is also a habit (10 to 12 nights/... Read Full »
Answer: Hello, Welcome to icliniq.com. As per your history, the child might have autism spectrum disorders. It will be worthwhile to see a developmental pediatrician or a pediatric neurodevelopmental consultant. You need to carry or record his preschool behavior chart when visiting the consultant. If tre... Read Full »