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Will ENCEPHAPOL, TEGRETOL help in difficulty in pronounciations?

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My daughter 6 years old patientold ,105 cm high , 33 kgm wight has Problems in balancing and walking normally such as can't play Hopscotch with her friends. difficulties in pronunciation some letters such as S ,G ,H and K .
difficulties in motor skills .
I noticed that she gets improvement month after month , but at this time i need to send her to school so more concentrate i'm planning to do with the help of you .
One year ago i asked our family doctor and he advice to get the drugs which i attached photo of them .(Encephapol and Tegretol for first sex months and Encephapol and Nootropil for the second half ).
MRI is available and uploaded to https://drive.google.com/file/d/0BxUrRO4WoHm3MndlME9aMmlHazA/edit?usp=sharing.
video record for her some daily life symptoms uploaded to https://drive.google.com/file/d/0BwSeJvRVIxVBaHVIRHVSM3N3ZXc/view?usp=sharing.
My questions :
What is the accurate diagnosis and recommend treatment plan !
What kind of therapy is available for my child? What is your experience with patients who have received this type of therapy?What specific measures do you recommend?
What is my child's long-term prognosis (outlook)?
What kind of measures can we implement at home to improve long-term functioning and well-being?

Category: Pediatric Neurologist

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Dr. Sudhir Kumar
Category: Pediatric Neurologist
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Expert:  Dr. Sudhir Kumar
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Hello,
Thank you for your query at DoctorSpring.com
Unfortunately, we are unable to open the MRI file. Is it possible for you to share a pdf copy of the MRI, for our specialist to review?
Regards,
InHouse Physician.


Patient replied :

Pdf copy of the MRI uploaded to https://drive.google.com/file/d/0BwSeJvRVIxVBSjV5cTY1UWNQbWM/view?usp=sharing
MRI can be viewed also using the Philips DICOM Viewer 3.0 application that is included with the MRI in this link https://drive.google.com/file/d/0BxUrRO4WoHm3MndlME9aMmlHazA/edit?usp=sharing.


Expert:  Dr. Sudhir Kumar
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Thank you for getting back.
I saw the MRI films, and they look normal to me, though I am not a radiologist. So, you can get it checked by a radiologist too, but as far as I saw, everything is normal.
Best wishes,
Dr. Sudhir Kumar MD (Medicine), DM (Neurology)
Senior Consultant Neurologist


Patient replied :

Firstly ,I forgot to tell you some details in the history of her , that may help you to diagnose . She didn't get enoughf Oxygen During her birth process ,then i took her immediatly to a close hospital then she slept in NICU for her initial 2 weeks . in her third year i consult a Neurologist , after he seeing the MRI (https://drive.google.com/file/d/0BwSeJvRVIxVBbEtBanQ1TS15dWs/view?usp=sharing)he advised to treat her by physical therapy . In her fifth year i visited other Neurologist doctor , .he asked to make new MRI(https://drive.google.com/file/d/0BxUrRO4WoHm3MndlME9aMmlHazA/edit?usp=sharing) and after seeing it he told me that she has brain issue and made Drug therapy, prescription,(Encephapol and Tegretol for first sex months and Encephapol and Nootropil for the second half) after the year taking these drugs doctor advise to continue taking the Encephapol only .
If everything is normal in MRI what is the treatment for such movement weakness and speaking .
Please watch the uploaded small video record of her movement symptoms Secondly , how to get the MRI checked by radiologist in doctor spring .!


Expert:  Dr. Sudhir Kumar
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I request you to attach the MRI report (radiologist impression only, please dovnot send the films, as I am not a radiologist)along with this mail as pdf file.
Also, please attach the video along with the mail, and not on the google drive, as I can not open them.
Best wishes,
Dr. Sudhir Kumar MD (Medicine), DM (Neurology)
Senior Consultant Neurologist,


Patient replied :

I attached the MRI report and some small videos please watch them . Thank you


Expert:  Dr. Sudhir Kumar
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Thank you for getting back.
MRI brain report is normal.
Please do not worry.
Best wishes,
Dr. Sudhir Kumar MD (Medicine), DM (Neurology)
Senior Consultant Neurologist

Dr. Sudhir Kumar
Category: Pediatric Neurologist
Experience: 
Senior Residency, Fellowship: DM, Neurology, CMC, Vellore, 2001
Junior Residency: MD, Internal Medicine, CMC, Vellore, 1998
Medical School: MBBS, Christian Medical College, Vellore, 1995
Dr. Sudhir Kumar and 4 other Medical Specialists are ready to help you

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