Aster CMI is proud to present its latest speciality: neurological sciences and treatment just for children. Our brand new department, which will be a subset of our award-winning neuroscience discipline, will provide attenuated neurology care—from diagnosing and treating common conditions such as headaches to conditions like epilepsy, newborn developmental delay and learning issues in teenagers.
In addition, Aster NeuKIDS also provides these facilities:
Management of difficult epilepsy in children of all ages
Specialised PICU and paediatric neurosurgery support
Well-equipped child development centre that helps generate the best outcome for children with neurological issues
Trained dieticians to support and educate guardians about children with epilepsy on ketogenic diet
Ketogenic Diet And Therapy
Studies have shown that ketogenic diet is considered to be one of the more effective treatments for children with severe or drug resistant epilepsies.
How Ketogenic Diet Works?
Keto diet—a diet that consists of very low carbohydrates, some protein but very high fat, In the ketogenic diet, the body is forced into the metabolic state of ketosis where the body processes ketones—fuel molecules that are produced in the liver by converting fat—instead of glucose (produced by carbohydrates) as its energy source. Ketosis happens when the body is almost completely energized by fat and not carbohydrates.
Some studies indicate, that during ketosis, a chemical called decanoic acid, is also produced in the body, which has shown to have some sort of effect on reducing seizures.
At Aster CMI, our trained dieticians customize a balanced and healthy diet by working out exactly how much of which foods a child suffering from epilepsy can eat each day. Parents and caregivers of these children are equipped with personalized recipes, as well as given a complete dossier on how to plan these meals. Apart from these, the parents and guardians are also briefed about what foods to give and what to avoid in affected children.
While ketogenic diet might be helpful, it should always be considered as an addition to medication and that it might not work for all children with epilepsy. The diet should only be started on these children under strict professional supervision.
Metabolic or Inborn error of metabolism
These are disorders arising due to failure of the body to use the food molecules such as carbohydrates, proteins and fat to generate energy or for building cells in the body. These disorders can present in various ways, failure of the baby to adapt immediately after birth, seizure, developmental delay, visual problems, or recurrent miscarriages / deaths.
Aster CMI hospital has a well equipped children’s ICU team with trained staff who can suspect, investigate, diagnose and treat these conditions. We have experts in various fields who work together to help children and their families to reach a diagnosis and guide management.
Aster CMI hospital has tied up with laboratories, which holds international quality accreditations (CDC, ERNDIM) demonstrating our commitment to excellence
The clinical teams looking after these children in Emergency Room, Neonatal Unit and Paediatric ICU are well versed with the intricacies of IEM. We are able to
• Manage Acute Metabolic Emergencies
• Process Critical Samples early to diagnose and start specific treatment
• Ongoing care in ICU including metabolic corrections, Multi-Organ support including Peritoneal and Haemodialysis for removing the metabolic toxins.
• Finding a definite diagnosis
• Specific Pharmacological treatment
• Special Diets
• Genetic Investigation and Counselling
• Foetal Medicine services for monitoring and investigating unborn foetus
• Bone Marrow and Liver Transplants for specific metabolic conditions.
At Aster CMI – We would be one of the few centres in the country addressing this complex childhood illness in a comprehensive way.
Genetic counselling is a communicative process which involves educating patients and their families with the occurance and/or recurrence of a genetic disorder in a family.
It’s a process, by which the families are:
a. Informed about the genetic basis of their clinical disorder, the inheritance pattern and the recurrence risk
b. Guided through the testing and management options
c. Helped to choose a course of action which is appropriate in their view taking into consideration, risk, family goals, ethical and religious standards
d. Providing social and psychological support to the affected family
When should you see a Genetic Counsellor?
One should see a genetic counsellor under the following scenarios:
• Anyone with a family history of a genetic condition or birth defect
• Any couple having a child with a genetic disorder or birth defect
• Consanguinity [marrying within relatives]
• Any couple who is pregnant or considering becoming pregnant and are concerned about the genetic health of their future baby
• Women with bad obstetric history, two or more pregnancy losses or having one or more than one baby who died with an unknown cause
• Antenatal ultrasound or pregnancy screening tests suggests a possible risk
• Follow-up for a positive new-born screening test
• Before undertaking any genetic testing [pre-test] and after receiving results [post- test]
When you go for a genetic counselling session, the counsellor:
• Takes your family’s health history, including past generations, and uses this information to find how your family’s health may affect you
• Upon receiving your doctor’s consent, the coordinator may set up appointments for you to have genetic testing done to check for the genetic conditions
• Helps you understand the genetic test results and risk for genetic conditions
Why is Genetic Counselling necessary?
Genetic Counselling helps an individual or a couple take an informed decision based on the full information about the genetic condition provided during the counselling sessions. Genetic counseling is becoming an integral part of healthcare services because:
• New information about causative genes for genetic disorders and birth defects is now coming into light and parents and families seeks the latest information
• Most of these genetic conditions can be diagnosed and interpreted with relevant genetic tests
• Many different genetic testing options are now available which needs pretest and post test counseling.
Neuroimaging: ready access to computerized topography (CT) brain (including CT angiography); magnetic resonance imaging (MRI) brain (including Magnetic Resonance (MR) angiography, MR spectroscopy) and spine; and CT myelography; neonatal brain ultrasound examination and doppler ultrasound vascular imaging. In addition we have positron emission tomography (PET) and single photon emission computed tomography (SPECT)
Neurophysiology: Electroencephalography (EEG) including EEG video telemetry; BERA (haring test); nerve conduction studies and electromyography.
Neurometabolic investigations: These investigations are mainly done on blood, urine and cerebrospinal fluid (CSF). Many neuro-metabolic investigations will be processed on site but some sent to specialist laboratories.
Neuro-immunological investigations: These investigations are done on blood and CSF samples. Some neuro immunological investigations will be processed on site but some sent to specialist laboratories.
Genetic services: These investigations are done on blood or amniotic fluid (fluid around baby in womb).
Types of Genetic Testing:• Diagnostic testing
Aster NeuKIDS CDC
Infant Developmental Supportive Care: This is for those pre-term/sick neonates who are confined within the environmental and treatment-ready demands in NICU. This care has been designed to modulate their sensory experiences so that their normal brain connections are formed. Our team works along with our specially trained nursing staff and parents to create a plan that nurtures baby’s developing nervous system through the developmentally supportive care in NICU. This care is also meant to spur the bonding between the parent and the infant by making the parents/caregivers aware of all the cues provided by the infant according to its need.
NICU High Risk Babies Follow Up Program: This special care package program is for those who have ‘graduated’ from NICU. The program has been developed to regularly monitor their development as these infants, who had their early life within the NICU, run a risk of developing complications and/or developmental disabilities once outside its sterilized environment. This follow-up program, as the name suggests, helps families keep an eye on their child’s growth—under professional supervision—through the initial three years. The program is also designed to identify signs of any deviation from the normal growth path of development or behaviour. Infant Stimulation Program: Well-qualified physiotherapists as well as childcare and child psychologists are the one behind this child development care program. Under this, the professionals take down detailed assessment of children in all streams of their development. This is a therapy program that comprises of sensory and motor activities; playing is a primary medium through with the child is aided in attaining age-appropriate milestones in communication and cognition. The program also includes neuro-developmental therapy to improve the child’s motor development. Autism Intervention Program: Autism is a neurodevelopmental disorder. Due to this disorder, a child’s language development and social function gets affected—moderately to severely depending on where the child has been found on the spectrum. In this program, parents are an integral part for the child’s holistic development, especially when the child has been assessed to be on the autism spectrum. After a comprehensive assessment of how they function at an emotional level in regular society, as well as their adaptive and language skills, the parents are given a home management program. This is for the parents to carry out under the more familiar environment of the child’s home so that the child is more easily acclimatized to what is considered ‘normal’ in regular society.
ADHD Intervention Program: Attention Deficit Disorder is one of the most common psychological disorders diagnosed in today’s children. Aster’s program offers a comprehensive diagnostic and management program for children diagnosed with this disorder. The management of these children is based on three-pronged approach: environmental accommodation, behaviour modification and drug therapy. It also offers a parental education program in developing coping strategies and monitoring the drug therapy. There are also interventional programs for poor scholastic performance along with other behavioural issues.
Newborns-16 years of age can attend the Aster NEUKID CDC for assessment, diagnosis, advice and treatment for a wide range of problems such as:
• Developmental delay
• Physical disability
• Severe co-ordination difficulties
• Communication, speech and language difficultie
• Autistic spectrum disorders
• Learning difficulties
• Vision and hearing problems
• Behaviour problems associated with developmental delay Our goal is to meet the developmental, emotional, social, physical and intellectual needs of children. The Centre respects and accommodates the developmental stages of all children and promotes positive self-image.