Sunday, July 6, 2008

Summary of Diagnosis/Prognosis

(1) Hydrocephalus
a. Non-communicating
· Plug in aqueduct of sylvius
b. Enlargement on lateral and 3rd ventricles
· Suspect tumor presence in 3rd ventricle

(2) Vision Impairment
a. Blind (both eyes)
· No or very little response to light
· Suspect optic nerve damage in central nervous system
· Severe visual impairment because of bilateral optic atrophy which is part of the generalized cerebral atrophy
b. CMV Syndrome (some small dots in retina)
c. Strabismus

(3) Hearing Loss
a. Right mild hearing loss (30–40 dB)

(4) Craniosynostosis
a. Right coronal suture has joined/united

(5) Osteopetrosis
a. Suspected intermediate osteopetrosis
b. No evidence of hepatosplenomegaly
c. No progressive growth of osteopetrosis; normal life expectancy

(6) Rubella Syndrome
a. Radiolucent on all articulations

(7) Gastrointestinal
a. The feces observed proved to be measuring blood
b. Some observations (endoscopy, colonoscopy, meckel scan, bleeding scan) were unable to detect the source of bleeding
c. Gastroenterologists’ recommendation for surgery of exploring ileum has been rejected by patient’s parents

(8) Autistic Spectrum Disorder (ASD)
a. Non-verbal & some developmental disability in behavior
b. Nutrient & potentially toxic elements
· Elevated or depressed level in blood: Calcium, Manganese & Potassium
· Elevated or depressed level in hair: Magnesium, Copper, Zinc, Manganese, Vanadium, Cadmium, Lead, Mercury, Aluminium, Thallium & Tin

(9) Obstructive Sleep Apnea Syndrome (OSAS)
a. Sleep Apnea with Apnea-Hypopnea Index 31,9 per hour
b. Laryngoscopy result showed macroglossae
c. Obliteration of lumen airway

(10) Maxilla Osteomylitis
a. Peritoneal reaction at upper right medial maxillary
b. Recurrent soft tissue swollen around right maxillary; suspected chronic osteomylitis

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