Emma's Story. A New Prognosis for Agenesis of the Corpus Callosum

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The Use of IM in Infancy By: Lucy Barlow, CCC-SLP Emma’s Study

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www.TheFetus.net A transverse section of a normal brain. The corpus callosum is observed as a bundle of fibers crossing the midline (represented in gray). The coronal section of a normal brain. The corpus callosum is observed as a bundle of fibers crossing the midline (represented in gray). The sagittal section of a normal brain. The corpus callosum is represented in gray.

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Functional Deficits Cognitive/Language Deficits- initial evaluation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Infancy: Physical Development Chapter 4 and 5 Infant development progresses rapidly. Infants usually come into this world equipped to begin the journey of life! 1 Principles of Development Cephalocaudal Proximodistal Cephalocaudal – refers to development as progressing from head to toe. Consider muscle development babies begin by being able to lift their head and then it progresses to ultimate control of muscles which would be walking. Proximodistal refers to center out. Again consider the last area one gains control is the fingers. 2 Skeletal Growth Skeletal Age Epiphyses Fontanels The best estimate of a child’s physical maturity is skeletal age, which is a measure of development of the bones of the body. Epiphyses are growth centers, that appear at the ends of the long end of the bones of the body. Cartilage cells continue to be produces at the growth plates of these epiphyses, which increase in number throughout childhood and then as growth continues, get thinner and disappear. Skull growth is especially rapid between birth and 2 years of age due to large increases in brain size. At birth the bones of the skull are separated by gaps called fontanels. These gaps help during the birth process and also allow for brain development. There are 6 of these – the largest is the anterior gap. It will gradually shrink and fill in during the second year. The other fontanels are smaller and close more quickly. As the skull bones come in contact with one another, they form sutures or seams, these permit the skull to expand easily as the brain grows. The sutures will disappear when skull growth is complete, during the teen years. 3 Brain Development Synaptic Pruning Myelination Cerebral Cortex Prefrontal cortex Hemispheres Lateralization Brain plasticity At birth the brain is nearer to its adult size than any other physical structure. Human brain has 100 to 200 billion neurons or nerve cells that store and transmit information. Between nuerons are tiny gaps or synapses, where fibers from different neurons come close together but do not touch. Neurons send messages to one another by releasing chemicals call neurotransmitters which cross the synapse. During infancy and toddlerhood, neural fibers and synapses increase dramatically. Because developing neurons require space for connective structures, as synapses form surrounding neurons will die. As neurons form connections, stimulation becomes vital for their survival. Neurons that are stimulated by input from the surrounding environment continue to establish new synapses, forming increasingly elaborate systems of communication that support more complex abilities. Neurons that are seldom stimulated soon lose their synapses, through synaptic pruning, which returns neurons not needed at the moment to an uncommitted state so they can support future development. About half of the brain is made up of glial cells which are responsible for myelination, the coating of.

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