Guest guest Posted March 30, 2008 Report Share Posted March 30, 2008 I have a question for the group.. Does anyone on this list have a chiari 1 malformation. I myself have chiari 1 (brain malformaiton) and am on the wacma listserv. Someone mentioned a connection between the mom having chiari 1 and the child having a nonverbal learning disability. I had never heard of this correlation before. , have you heard of this connection? i did not see anything in the book on this. Thanks Sharon Lang Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 30, 2008 Report Share Posted March 30, 2008 > Someone mentioned a connection between the mom having chiari 1 and the child having a nonverbal learning disability. I had never heard of this correlation before. No have not heard that before -but it's good to put it out there and see if anyone answers. Anyone else have chiari 1 and is the parent of a child diagnosed with a nonverbal learning disability? Then again NLD is not a speech/language delay or impairment... (most are here for those reasons) " There is an excellent vocabulary and more than typical verbal expression, starting at a young age. " http://www.nldontheweb.org/tanguay_3.htm 'What is NLD? Nonverbal learning disorders (NLD) is a neurological syndrome consisting of specific assets and deficits. The assets include early speech and vocabulary development, remarkable rote memory skills, attention to detail, early reading skills development and excellent spelling skills. In addition, these individuals have the verbal ability to express themselves eloquently. Moreover, persons with NLD have strong auditory retention. Four major categories of deficits and dysfunction also present themselves: •motoric (lack of coordination, severe balance problems, and difficulties with graphomotor skills). •visual-spatial-organizational (lack of image, poor visual recall, faulty spatial perceptions, difficulties with executive function* and problems with spatial relations). •social (lack of ability to comprehend nonverbal communication, difficulties adjusting to transitions and novel situations, and deficits in social judgment and social interaction). •sensory (sensitivity in any of the sensory modes: visual, auditory, tactile, taste or olfactory) http://www.nldline.com/ But nope they are different too -here's a website from a parent who has one child with each diagnosis and she explains the difference http://www.nldline.com/newpage27.htm We do have some members who have a child with chiari 1 malformation. Here's just a few of the archives -I tried to include the emails so you can email them and see if anything runs in the family tree. Hope this helps a bit: ~~~~~~~~~~~~ Hello to all, We took JJ for his follow up yesterday. As of yet, the neurologist cannot explain his regression in speech and development, he doesn't want to blame it on the chiari. He has referred us to the specialist at U of M that deals directly with autism, he told us there is a high likelihood that JJ is mildly autistic. I don't see it, especially since JJ tries to communicate through signs, etc. And I would say for 2 weeks now he has had alot to say (though he can't say it). Surgery may be an option for us at this point, however, we have to take JJ for his follow up MRI where they will check CSF flow and the amount of the herniation in his brain. It's all hurry up and wait. Your prayers are appreciated. Re: [ ] New member Hi Laurie, Oh my! Your Mic sounds just like my son JJ. He has speech of about eight words prior to his first birthday and after that he quit talking except for Dada. He also quit eating anything (especially table food) for at least 3 months. His ped. told me not to worry about, however, his dad and I put him on Pediasure ourselves. He started eating some baby food again, but he only has a diet now of cereal, bananas, and chicken nuggets. Sometimes a cracker or two, or maybe a piece of toast. But he puts everything in his mouth whole and then moves it back and forth. Sometimes he might swallow, others he just spits it out. Most recently we had an EEG and and MRI and found out that he has other issues besides his apraxia. By the way, he has serious sensory dysfunction problems also. Anyhow, to make a long story short, he has a Chiari 1 brain malformation. We're dealing with that. On to your question about some oral motor activities. Are you letting Mic use a toothbrush? JJ loves to brush his teeth (he probably does it about 20 times a day ;-)). We have been using ice to get him used to us being in his mouth and suckers. This has helped him some, because prior to his speech therapy he couldn't tolerate anything cold. He doesn't like people to touch his mouth too often or his face for that matter, but we let him do most of the work. If you have any more questions please feel free to contact me. Kim, Mom to Carissa age 9, normal as can be, and JJ 23 months, apraxic, sensory integration dysfunction and most recently ACM1 propanegirl@... Re: [ ] Re: Neuro-psychological assessments? .........to add to 's point......BOTH of my boys were MIS diagnosed as Autism/PDD...BOTH were late talkers...NEITHER of them is autistic or showed ANY (IN MY OPINION) of autism in ANY WAY. It's a great " umbrella " to use, because it covers MANY things. Please don't be afraid to ask questions, and find another doctor if you're not comfortable with what's going on. When I mentioned apraxia to my pediatrician, and his response was " what's that " ...let's just say I knew I was on my own. You are you child's LOUDEST VOICE....don't ever forget that. ~Karyn [ ] Re: Neuro-psychological assessments? Hi Kim, I am not an expert on Arnold Chiari Malformation 1, however as a parent who has been there twice -I do have some suggestions for you to raise to your child's neurologist. As far a surgery -typically I suggest second opinions, and after speaking with MDs you respect finding out if it's possible to wait out surgery to do it at a later age. (This is what we did for my son Dakota who also had huge adenoids and tonsils which blocked his hearing and was credited to his late speech as well. We were advised this by friends who are MDs to " wait if possible until he is three " for Dakota since it's hard to explain surgery to a two year old. We were told by Dakota's doctors we could wait, and by the time Dakota was three -the age we were told we could wait until - Dakota no longer required the surgery and we were all thrilled.) However since JJ is diagnosed with Arnold Chiari Malformation 1 (ACM) -it appears from what I read that surgery can prevent further paralysis and may be crucial. And I even read it may reverse symptoms? So I wouldn't suggest in your case holding off on surgery if it is needed and confirmed by a second opinion (second opinions in my opinion are only from MDs who are based out of an entirely different hospital systems from each other) Here are my concerns to raise based upon your posts here: I'm sure paralysis may be a sign of ACM -but how does anyone know that the " possible paralysis of the voice box " (Larynx ) that the one MD suspects isn't from the ACM as you say is common -but instead apraxia of the voice box (larynx)? The larynx is one of the areas of speech typically affected by apraxia as you know. I'm saying this especially since the neurologist diagnosed JJ as having apraxia. I received a call from the Reeve Foundation based upon a post I sent here asking what is the difference between partial paralysis and severe apraxia since both are problems of the brain sending signals to the muscles of the body where the signals sometimes go through -and sometimes do not. I was asked to submit a paper at that time -they were interested (and I am not a PhD!) I just did a search and here is an article on this: 'PATTERNS OF LARYNGEAL APRAXIA IN TWO PATIENTS WITH BROCA'S APHASHIA' http://www.phonetik.uni-muenchen.de/~hoole/pdf/laraos_fipkm.pdf Is JJ responding to appropriate intensive therapies for apraxia? Have you tried EFAs? If not, why not? Other than regression and lack of speech -is JJ showing any signs at all of autism? If I read correctly -solely based on JJ's lack of speech is autism being suspected -is this true? Do you believe JJ is autistic, or has autistic tendencies? Are you and JJ's MDs aware that if JJ is not autistic -yet is given that diagnosis solely due to his lack of speech he will almost definitely be given ABA therapy which is not appropriate for a child (or anyone) who does not require ABA therapy (autistic, behavioral problems)? ABA therapy does not provide enough speech or occupational therapy for a child with a motor planning problem of speech. Typically children with apraxia also have weakness of the muscles somewhere in the body as well -does JJ have any hypotonia or dysarthria? If so -he would need strengthening therapies as well as motor planning therapies. ABA therapy again does not provide the therapy that is needed to help JJ to speak if he is not autistic. Again -my concern is why the jump to autism when there has only been a 4 fold rise in autism in the last 10 years, while there has been a 30 fold rise in speech and language impairments in the same time period according to Dr. Mark Geier's study of the US Department of Education Statistics. http://www.cherab.org/information/geiermd.html A name is not just a name when it comes to late talkers/speech impaired -therapy is what separates the conditions -and is most important in accurate diagnosis. http://www.cherab.org/information/adhd-speech.html Conditions can overlap of course -you can have a child with CP and apraxia, or autism and apraxia -or in your child's case Arnold Chiari Malformation 1 and apraxia, etc. etc. Apraxia can also stand alone. The average child who has apraxia has some amount of mild hypotonia (even though for some such as Carolyn's or Suzanne's child can be severe) -and also has some amount of sensory integration dysfunction. With DSI however -I hate when people credit lack of speech to DSI " processing issues " OT is critical for almost all (all?) who have speech and language disorders -however DSI therapy - which is primarily OT therapy is not going to solely treat an apraxic child. Therapy again is the division. If apraxia is diagnosed -and the child is nonverbal -in addition to treating the Arnold Chiari Malformation 1 in whatever way needed -I suggest you speak with your child's MD about aggressively treating the apraxia and see what happens to JJ's speech. Has there been improvements already? I know you have read messages from those with apraxic children who were misdiagnosed as autistic and were given ABA therapy. Again - ABA therapy is wonderful for a child with PDD or autism or behavioral problems -it is not appropriate for a child with apraxia or other speech and language disorders who require various types of multisensory speech and occupational therapies, and as 19 year old 's mother Robin has so painfully reminded us more than once - may be detrimental. So when you go for JJ's long awaited neuropsychology exam to see if he has autism -raise these questions about therapy. Perhaps before the appointment -ask the neurologist if you can start JJ on EFAs if you didn't start them already -results are typically in a day to three weeks for most with speech and language delays from various reasons ranging from PDD/autism and apraxia -to " just " late talkers. Based on what you said -being that lack/regression of speech is the only " sign " of autism -if JJ starts surging in speech in the next day to three weeks -the MDs can cross autism off the list of possible diagnosis. Wow. No wonder the neurologist couldn't answer your question will JJ ever talk -doesn't appear he's sure what is causing the lack of speech to begin with. Do you have The Late Talker book? http://www.speech-express.com/late.talker.html Why not ask him if he wants to borrow your copy? I'm sure that Dr. Agin will answer you soon. Of course even an MD or any professional won't be able to know for sure unless they themselves evaluated JJ and knew his history. Hope my suggestions helped a bit. My prayers are with you and JJ, and I'm sending you positive energy. ===== Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 30, 2008 Report Share Posted March 30, 2008 Hi Sharon - I do not have a Chiari Malformation but I do have Syringomyliea, which is often associated with Chiari. If you find any more information about this, can you please send it my way? Thanks, sbutler@... Re: [ ] chiari 1 and nvl I have a question for the group.. Does anyone on this list have a chiari 1 malformation. I myself have chiari 1 (brain malformaiton) and am on the wacma listserv. Someone mentioned a connection between the mom having chiari 1 and the child having a nonverbal learning disability. I had never heard of this correlation before. , have you heard of this connection? i did not see anything in the book on this. Thanks Sharon Lang Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 31, 2008 Report Share Posted March 31, 2008 Sharon, There is a woman by the name of Deantha who is on the dyspraxia families board and is quite active on the dysgraphia board who has this diagnosis. She is very positive that there is absolutely a coorelation between dyspraxia and Chiari 1 malformation. She indicated that while many get an MRI; it takes a trained eye to detect it. Janice [sPAM]Re: [ ] chiari 1 and nvl I have a question for the group.. Does anyone on this list have a chiari 1 malformation. I myself have chiari 1 (brain malformaiton) and am on the wacma listserv. Someone mentioned a connection between the mom having chiari 1 and the child having a nonverbal learning disability. I had never heard of this correlation before. , have you heard of this connection? i did not see anything in the book on this. Thanks Sharon Lang Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 31, 2008 Report Share Posted March 31, 2008 Janice Do you think Deantha would email me offlist. thanks sharon Janice <jscott@...> wrote: Sharon, There is a woman by the name of Deantha who is on the dyspraxia families board and is quite active on the dysgraphia board who has this diagnosis. She is very positive that there is absolutely a coorelation between dyspraxia and Chiari 1 malformation. She indicated that while many get an MRI; it takes a trained eye to detect it. Janice [sPAM]Re: [ ] chiari 1 and nvl I have a question for the group.. Does anyone on this list have a chiari 1 malformation. I myself have chiari 1 (brain malformaiton) and am on the wacma listserv. Someone mentioned a connection between the mom having chiari 1 and the child having a nonverbal learning disability. I had never heard of this correlation before. , have you heard of this connection? i did not see anything in the book on this. Thanks Sharon Lang Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 31, 2008 Report Share Posted March 31, 2008 Janice does she mean dyspraxia in the UK sense? (body) Perhaps that's it? Then again only one parent there -and zero here (just checked). I'd also check links between chiari and Asperger's Disorder since today more probably get that diagnosis (one would think ) Here's the handful of parents I found who has a child diagnosed with nonverbal learning disability. Also one page of resources and an article written by a 13 year old with NLVD or NVD from the archives: + Trapped. Martha talks about Nonverbal Learning Disabilities, and being trapped in a world which makes very little sense. http://pbsmail.org/ct/97qHYS91SEes/trapped Stories by Kids Trapped! By: Martha , Age 13, Dorset , Vermont I am 13 years old and have a mild form of NLD. Until this year, I had been dealing with it well. Yes it made some things like math hard, but as for the other things, it didn't bother me at all. But all of a sudden this year when I returned to my school, I suddenly found out what my parents and teachers mean when they always say I have trouble working out what people were really feeling, or as they put it " correctly interpreting people's emotions. " The other day, my favorite teacher, who is also my advisor, laughed at something I told her. I freaked out and was in tears all day because I thought she was laughing at me. In fact, it wasn't at me at all. She was laughing at herself. It had nothing to do with me at all. When my friends make eye contact with me, I shy away and ask why they are glaring at me. I never make eye contact with anyone because whatever I see in their face I will not understand. I feel as if I am trapped in a world that doesn't make sense, and in a world where very few understand me. The only two people I can really talk to are my teacher, , and my best friend Carol who also has NLD. No one else understands! And I don't understand either! ASPERGER's DISORDER AND NONVERBAL LEARNING DISABILITIES: How are These Two Disorders Related to Each Other? by Dinklage, PhD " There is clearly a great deal of overlap between Asperger's Disorder (AD) and Nonverbal Learning Disabilities (NVLD) " http://www.nldontheweb.org/Dinklage_1.htm Hello everyone, Greetings from here in NH. I haven't been on in a while but thought I would pose a question and maybe get some discussion started. This group has always been a fantastic help to me and I am sure there are some good thoughts about this out there as well. I am at a completely different stage/phase in life as most that write in. My son is 7yrs and nine months. he was diagnosed at nine months of age with " global developmental delays " and " low tone " and started occupational therapy at that time. He has had that as well as physical therapy, music therapy and speech and language/oral motor therapy, etc. pretty continuously along the way until recently. He has also been in " classes " or " groups " along the way, sometimes positive sometimes not. At age four he was " officially " " diagnosed " with sensory integration disorder (primarily being undersensitive, rather than overly) and at age five he was " officially " " diagnosed " with " global apraxia " . Although I feel the therapy has helped (depending on therapist of course) all along, it has not " cured " him. Neither did the proefa seem to have any effect (two a day for three months). Neither did the brushing for six weeks seem to have any effect. This past fall a developmental pediatrician from an ivy league college medial facility diagnosed him also with " nonverbal learning disability " but says that he is one of the 4% of the kids she has diagnosed in her long career who don't " exactly fit the picture in that his apraxia is by far the most prominent problem " . He was in a mainstream first grade class up until a few weeks ago at which point my husband and I decided to homeschool him. He enjoyed the children and they really miss him and according to the teacher and all the support staff (special ed. therapists, director, etc.) he was " doing fabulously " ....at grade level, no behavioral problems, etc. etc. He was pulled from class each week for two 1/2 hrs of speech and three 1/2 hrs of individual OT and also for an adaptive, multi-age gym class. The school day is 8am to 3pm. To make a very long story short, the problem was when he came home. This child was EXHAUSTED. He was so tired I can't hardly describe it. But he would not go to sleep for a nap, wiggling all around for an hour in his bed (this was only suggestion from school early on and so for two weeks I faithfully put him down every afternoon after school). Crying, whining, thirsty, hungry, thumbsucking, etc. until falling into bed between six pm and seven pm. But what bugged me the most is that he began to " stare " into space, lift both hands(like enstein) and mumble to himself, repeatedly, unless interupted. He scratched his crotch repeatedly, unaware of what he was doing. He would turn his head to one side and back repeatedly like a tic. He would blow on both hands one at a time repeatedly. And he immediately, as soon as school started began grinding his teeth severely at night. I checked with numerous other first grade parents and they all said their children were cranky and tired after school for the first few weeks. My son's tiredness and crankiness and bizarre behaviours just got worse and worse through the fall. ALL of these things are gradually receding since we began homeschooling (but of course he isn't getting any therapy at all, which I feel badly about). Interestingly he has also reverted to taking a nap on many days between 1-3pm and going to bed around 8pm. My son also is having some difficulty learning to read. In kindergarten the teacher said he was the top reader and doing fantastic. In first grade he was in the " average " group in spite of being a year older than most and having incredible amount of " enrichment " at home. All school personnel disagree with my assessment that he is having great difficulty with reading (he is extremely bright, knows quite a few 'sight' words and guesses a lot and reverses a lot) and claim they absolutely cannot give him any special help since he is " at grade level " . The school also claims they do not see any of the " tic-like " behaviors and reported that they have no more ideas on how to help me cope with them at home. Here are my questions: 1. (maybe Drs. Agin/Laveman?) Has anyone followed the group known as " children with apraxia " into school age? If so, what is the correlation/co-morbidity between apraxia and nonverbal learning disability? 2. I can understand that low tone and difficulty motor planning would create extreme fatigue and tiredness in someone expected to basically keep up with average peers in a busy environment. Is there any known treatment for treating this??? Has carn-aware been proven effective? 3. According to the literature kids with nld are usually very good readers early on.....does anyone have any ideas/ or know of any effective programs to teach reading to a child with nld that is struggling with decoding words? 4. Does ANYONE out there have a child with this description?? 5. As parents which would you pick....the therapy or a decrease of the bizarre behaviors (assuming of course that you couldn't pick both - in our state the school does not have to provide therapy by law if you choose homeschooling)? It has been hard to keep reading the list of messages lately because nothing has " resolved " my son's apraxia and I feel in some ways like I am " starting over " with this new diagnosis. I am trying to educate myself on that and trying to devote my time to figuring out ways to help him, rather than responding to the new people who write in with the same questions I had five years ago (I am afraid I might put too negative a spin on things if I respond!). My son is such a great kid, smily and happy, very bright and funny (now that he is out of school and anxiety is decreasing, I can see this side of him again) and so worth not 'losing'. Thanks for reading all the way through and thanks in advance for any thoughts, prayers, advice, knowledge you can pass my way....either back to the list or to me privately. Thanks again! And thanks again, , for creating this chat group and to for so faithfully researching new topics all the time (the dog ones were great!). Carol (mom to two great boys) Re:Autism miss-diagnosis? Interesting that this post happened today. I read this group since our youngest has apraxia/pdd-nos. Our middle child started with articulation issues (dealt with via early Childhood Special Education). Then his teacher suggested we have him tested via the schoold district for ASD. The district returned an educational dx (they cannot provide a medical dx) of Aspergers. We had him evaluated by a local Children's Hospital psychologist who just today told us that he is a quandry to her. He has a few markers that may indicate Aspergers, a few markers that indicate anxiety and a few markers that indicate a nonverbal learning disability. How is that for specificity? In response to your question, I have a few reactions... 1. Yes, it is extremely frustrating. As the parent, my first reaction is to fall into the " find it so I can fix it " frame of mind. However I also need to remember that our son is a work in progress and I need to be open to all the opinions that are offered to me. I also need to remember that we, as a culture, know relatively very little about how the brain works and the reality of our world is that there probably is *no* easy fix for this stuff that confronts our kids. That totally sucks, but it is the truth. 2. Regardless of the name given to how he learns, my focus (in my opinion) needs to be on what happens to him on a daily basis: do the therapies/interventions/modifications he encounters help him or hinder him? I am learning to ask the question, " what will that do to help him " when someone suggests we try something new. Concretely, with this new piece of information about nonverbal learning disability I plan on talking to his teacher at school this week before school starts (he is going into Kindergarten) to get her feedback on what resources he has avalible. Since he is identified as ASD in his IEP, what will be added or changed to accomodate this new information? Even though his educational dx is ASD and I have been told that isn't an accurate dx, the services he will receive under that dx won't hurt him, and are reasonable services for working with his probable nonverbal learning issues. As has been alluded to many times on this group--the issues we all are dealing with have MANY commonalities-even if they are not all the same from a label point of view, so when we talk to each other, and share our expreiences, we better help our children 3. I need to be his advocate. There is no one else who has all the pieces to his puzzle except for me (and my big purple binder) so I need to let the right people know what they need to know to best help him. I am not his therapist, nor have I gone to school to be one. I am also not his doctor or his teacher. I am his mother and I have to both educate myself, but also rely on the information others give me to decide what is best for him--whether that be going GCFC, seeing a specialist, transitioning out of speech through the district or whatever. I hope that this helps you. I am sorry that I can't give a clear cut answer, but alas, we are not dealing with clear cut problems. Feel free to backchannel me for specifics of this never ending journey. Baumann Kate, It has been a few years since my son was 2.5 years old, he's now 10, but I can recall the frustration and anger in him. During Early Intervention the special ed teacher designed magnets with clip art on it. We had well over 100 categories by the time we were done, but it seemed to alleviate his frustration level. Another issue we faced were his sensory overload. He had vestibular dysfunction and the OT plus home exercises built up his vestibular. Another area was the hypersensitivities in his hearing. AIT and Tomatis improved that, plus supplementing with Coromega (omegas 3) and Vitamin E brought him out of the " fog " . There was so much trouble inside his body that I needed to clear up before the therapy actually began to work. Seeing a vision therapist cleared up his binocular dysfunction, OT worked on his vestibular and dysgraphia, ST worked on his verbal apraxia and central auditory processing, and VT built up his cognitive training. I " m happy to report at 10 years old he has been in a regular classroom with supplemental help and private therapy since Kindergarten. No one but his Child Study Team knows he has any issues. His teachers have always been surprised when they are asked to attend his IEP meetings because they dont see his nonverbal learning disability. all the best, Joanne have you read The Out of Sync Child, or the LP Solution by Dr. Stordy. they can be found at your local library. , I can't thank you enough for taking the time to write your story for us to hear. I am the mother of an eight year old boy with global apraxia and a learning disability called nonverbal learning disability (but he doesn't fit that diagnosis exactly either). He also has low tone and has a higher tolerance for pain than normal. He has also had hearing problems in his left ear and on and off problems with allergies. You will probably be so surprised at how many questions all these moms have for you! I have some too and thank you again for going to the effort to share with us and also for being honest with us. I also feel like crying when I hear what you have been through and admire you greatly for doing the work you are doing....my husband does the same work! Anyway, here are my questions: 1.) Same as 's mom....I know you mentioned you withdrew and blocked the world out and went into your own world in order to survive. I am curious about how that looked to other people? Did they see you have any nervous habits? did they try to stop you from acting a certain way? Were there times that you could know you couldn't " do what others were asking you to do " as well as you could at other times? Like for example....were there some days you know or knew you would not sound as clear as others? Or not be able to run/ sit up at your desk as well as other times? 2.) Did you ever learn to ride a bike? 3.) If you had a child in school today faced with the same issues, what would you do for that child? How can the mother or father help? You are admired by me and many others and how glad we are you never gave up! Carol p.s. have you read the book called Dyslexia, My Life. His experience reminds me quite a bit of yours. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 31, 2008 Report Share Posted March 31, 2008 http://www.chiarione.org/symptoms.html Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 31, 2008 Report Share Posted March 31, 2008 Bradovich, who used to be on this board, ha a mom with Chiari and a PDD Nos daughter with apraxia. So, in that case it was a grandma. > > I have a question for the group.. Does anyone on this list have a chiari 1 malformation. I myself have chiari 1 (brain malformaiton) and am on the wacma listserv. > > Someone mentioned a connection between the mom having chiari 1 and the child having a nonverbal learning disability. I had never heard of this correlation before. > > , have you heard of this connection? i did not see anything in the book on this. > > > Thanks > > > Sharon Lang > Quote Link to comment Share on other sites More sharing options...
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