Diet and Exercise Guidelines for Managing Tourette Syndrome in Children
Diet and Exercise for Tourette Syndrome Hello, Doctor: I would like to ask the following two questions. 1. Regarding dietary considerations for Tourette syndrome, the doctor mentioned avoiding shellfish, nuts, chocolate, and caffeine, which seems to align with a low-copper diet...
Dr. Lin Guanglin reply Rare Disease
A. Dietary recommendations for children with Tourette syndrome include: 1. Avoiding foods and beverages that contain caffeine. 2. Increasing the intake of fruits and vegetables. 3. If tests reveal elevated levels of copper in the body, it is necessary to limit high-copper foods; ...[Read More] Diet and Exercise Guidelines for Managing Tourette Syndrome in Children
Supporting a Baby with Hypotonia: Music Therapy and Developmental Strategies
Hypotonicity, music therapy The baby girl is currently over 3 months old, weighing 4700g (birth weight 2950g), measuring 61cm in height (birth length 53cm), and has a head circumference of 38.4cm (birth head circumference 33cm). She was induced at 41 weeks and delivered vaginally...
Dr. Lin Guanglin reply Rare Disease
1. The tension is relatively low, and continuous rehabilitation is necessary while searching for possible underlying causes, which may require some time for observation and examination. 2. Based on your description, the child seems to have weakness on the left side of the body,...[Read More] Supporting a Baby with Hypotonia: Music Therapy and Developmental Strategies
Understanding Sudden Lower Back Stiffness in Children: Causes and Concerns
What could be the issue if a child experiences sudden muscle cramps in the lower back that prevent movement? My child experienced stiffness in the lower back on both sides around the third and fourth day of the Lunar New Year, which has recurred intermittently. We took him to the...
Dr. Lin Guanglin reply Rare Disease
More clinical information is needed for a more detailed discussion at the outpatient clinic.[Read More] Understanding Sudden Lower Back Stiffness in Children: Causes and Concerns
Can Adults Consult for Rare Neck and Shoulder Nerve Issues?
Cervical nerves Dr. Lin: Hello, I am a patient with a rare disease (not neurological). I seem to be experiencing some unusual symptoms in my shoulder and neck area, and I would like to schedule an appointment with you. I am wondering if your clinic sees adults in addition to chil...
Dr. Lin Guanglin reply Rare Disease
I’m sorry, but I only see pediatric patients. I recommend you consult an adult neurologist. Wishing you all the best.[Read More] Can Adults Consult for Rare Neck and Shoulder Nerve Issues?
Understanding Rare Hearing Disorders in Children: A Parent's Guide
Rare Diseases Related to Hearing Loss Hello, I would like to inquire about my eldest daughter's hearing-related issues and the name of a rare disease. My daughter is 9 years old, and when she was 2 to 3 years old, she was diagnosed with hearing problems at Chiayi Christian H...
Dr. Lin Guanglin reply Rare Disease
I may not be able to answer your question, but I found some information for your reference: http://www.chinainfo.gov.cn/data/200112/1_20011204_23841.html http://www.tfrd.org.tw/rare/typeCont.php?sno=0724&kind_id= http://www.hearingaid.com.tw/DrHsu/hsu3.htm[Read More] Understanding Rare Hearing Disorders in Children: A Parent's Guide
Understanding Myonuclear Displacement in Rare Pediatric Muscle Disorders
Intramuscular migration In children, HE staining shows muscle fibers of varying sizes with nuclei displaced within the fibers. Some muscle fibers exhibit a moth-eaten appearance and compensatory hypertrophy. Is it possible for this condition to be treated effectively?
Dr. Lin Guanglin reply Rare Disease
The findings from HE staining may indicate the presence of immature muscle cells, which should be discussed with the interpreting physician. Muscle biopsies cannot diagnose all diseases, and it may not be possible to determine the potential for treatment based solely on this info...[Read More] Understanding Myonuclear Displacement in Rare Pediatric Muscle Disorders
Understanding Dystonia: Diagnosis and Causes in Rare Childhood Disorders
Dylan's syndrome? Doctor: Hello, your daughter is currently 4 years old. She has been receiving speech therapy (ST) and occupational therapy (OT) since she was 3 years old. Her EEG and hearing tests are normal. For safety reasons, she has been on medication to control seizur...
Dr. Lin Guanglin reply Rare Disease
Are you referring to De Lange syndrome? It is characterized by symptoms such as synophrys (unibrow), thin and downturned lips, limb malformations, hirsutism, hearing impairment, and below-average intelligence, which are generally sporadic. The gene associated with De Lange syndro...[Read More] Understanding Dystonia: Diagnosis and Causes in Rare Childhood Disorders
Understanding and Managing Sudden Aggressive Behaviors in Children
Children's temper and behavior? Hello Dr. Lin, I would like to discuss some concerning behaviors exhibited by my child. For instance, there was an incident at my sister's house where, while playing with cousins, my child suddenly hit his cousin in the face with a comput...
Dr. Lin Guanglin reply Rare Disease
You can first go to a pediatric mental health assessment to determine if the impulsive behavior is indicative of Attention-Deficit/Hyperactivity Disorder (ADHD).[Read More] Understanding and Managing Sudden Aggressive Behaviors in Children
Concerns About Developmental Delays in a One-Year-Old Child
Please consult about developmental issues in a 1-year-old child? My son just turned one year old. He can roll over but doesn't sit up well and needs support to walk slowly. His left hand is often clenched into a fist with the palm facing backward and the arm extended straigh...
Dr. Lin Guanglin reply Rare Disease
One year old, can roll over but has difficulty sitting up, needs to be evaluated.[Read More] Concerns About Developmental Delays in a One-Year-Old Child
What to Do If Your Toddler Isn't Talking Yet? Expert Advice Inside
What should I do if my child at home has not started to speak yet? Our child is one year and five months old and has not yet started to talk (not even saying "mom" or "dad"). What should we do? If we need to take them to see a doctor, which specialty should we...
Dr. Lin Guanglin reply Rare Disease
Pediatric Neurology[Read More] What to Do If Your Toddler Isn't Talking Yet? Expert Advice Inside
Effective Treatments for Tourette Syndrome in Children: A Guide
Tourette syndrome Is there a medical remedy for Tourette syndrome? My child is 13 years old, and I would like to know how to help with symptoms such as facial tics, shoulder shrugging, and vocalizations.
Dr. Lin Guanglin reply Rare Disease
Considering the severity of the condition, most medication treatments only require an understanding of the illness and providing psychological support. For any questions, please call the Tourette Syndrome Association at 03-3281200 ext 8246.[Read More] Effective Treatments for Tourette Syndrome in Children: A Guide
Managing Rare Seizures: Treatment Options for Your Friend's Condition
Bloodletting My friend has a congenital intellectual disability. However, he has a condition that causes him to experience intermittent seizures, but they are brief and resolve quickly. What treatment options are available for this condition? Additionally, what methods can help r...
Dr. Lin Guanglin reply Rare Disease
Pediatric neurology can perform electroencephalography (EEG), magnetic resonance imaging (MRI) of the brain, and genetic metabolic evaluations to check for metabolic disorders or chromosomal abnormalities. If the diagnosis is epilepsy, treatment with antiepileptic medications is ...[Read More] Managing Rare Seizures: Treatment Options for Your Friend's Condition
Guiding Speech Development in Children with Corpus Callosum Agenesis
Corpus callosum Hello, doctor. Our older brother experienced seizures and had a bluish discoloration of the lips after birth. He was then transferred to a major hospital, where it was discovered that he has unilateral agenesis of the corpus callosum. He is now four years old and ...
Dr. Lin Guanglin reply Rare Disease
It is necessary to first confirm whether there are any abnormal electrical discharges in the brain before proceeding to the pediatric rehabilitation department for speech therapy.[Read More] Guiding Speech Development in Children with Corpus Callosum Agenesis
Understanding Symptoms and Care for Infants with Propionic Acidemia
Rare diseases Infants with propionic acidemia may develop symptoms such as metabolic acidosis, lethargy, vomiting, poor feeding, and developmental delays. To prevent symptoms, it is crucial to manage the condition through dietary restrictions, including a low-protein diet and sup...
Dr. Lin Guanglin reply Rare Disease
Please consult Dr. Hou Chia-Wei at our hospital. Thank you.[Read More] Understanding Symptoms and Care for Infants with Propionic Acidemia
Understanding Rare Brain Disorders in Infants: A Mother's Concern
Worried Mother Hello Dr. Lin: My child had a larger head size at birth, and to be cautious, some pediatricians advised us to take him to Chang Gung Memorial Hospital for evaluation. The doctor arranged for an MRI, which revealed that the corpus callosum connecting the left and ri...
Dr. Lin Guanglin reply Rare Disease
The corpus callosum is an important pathway connecting the left and right hemispheres of the brain. Congenital brain abnormalities related to intelligence and developmental coordination are associated with the integrity of other structures. Rehabilitation therapy is considered th...[Read More] Understanding Rare Brain Disorders in Infants: A Mother's Concern
Understanding Rare Childhood Mental Health Disorders: A Case Study
Childhood Mental Disorders Wei-Wei is currently 10 years old. Since childhood, she has been diligent in her tasks, focused in her studies, and has performed well academically with no behavioral issues. However, starting in the fourth grade, her grades began to decline. Her backpa...
Dr. Lin Guanglin reply Rare Disease
It could be Tourette syndrome, but other conditions need to be ruled out. Please visit a pediatric neurology clinic.[Read More] Understanding Rare Childhood Mental Health Disorders: A Case Study
Understanding Agenesis of the Corpus Callosum: Risks and Recommendations for Expecting Mothers
Corpus callosum dysgenesis Dear Dr. Lin, My wife is currently 30+ weeks pregnant and is undergoing prenatal check-ups with Dr. Jiang Qixin at Chang Gung Memorial Hospital. A 3D ultrasound has revealed an enlargement of the ventricles measuring 2.58 cm by 1.78 cm, raising concern...
Dr. Lin Guanglin reply Rare Disease
I do not have in-depth research on fetal ultrasound, but you can ask your attending physician. Agenesis of the corpus callosum is a type of congenital brain malformation, and the severity of the condition can range from mild to severe.[Read More] Understanding Agenesis of the Corpus Callosum: Risks and Recommendations for Expecting Mothers
Can Tourette Syndrome Qualify for Disability Benefits in Taiwan?
Can individuals with Tourette syndrome apply for a disability certificate? My brother has been experiencing involuntary movements and verbal outbursts since he was 14 years old. My parents have sought treatment from both Western and traditional Chinese medicine and have undergone...
Dr. Lin Guanglin reply Rare Disease
Due to the complexity of the issues, please contact the Tourette Syndrome Association secretary at their phone number. Currently, there is no confirmed genetic marker for Tourette syndrome. Kuang-Lin Lin.[Read More] Can Tourette Syndrome Qualify for Disability Benefits in Taiwan?
Can My Daughter with Multiple Sclerosis Compete in Tug-of-War?
I want to let her participate in a tug-of-war competition? Hello Dr. Lin: I am currently facing a dilemma. She has multiple sclerosis complicated by epilepsy. Since her daughter is starting elementary school this year, the school is organizing a sports day, and they want to parti...
Dr. Lin Guanglin reply Rare Disease
In cases of tuberous sclerosis complex associated with epilepsy, participation in normal physical activities is generally not prohibited, depending on the control of the condition. Every situation has two sides, and decisions should be made considering the child's usual stre...[Read More] Can My Daughter with Multiple Sclerosis Compete in Tug-of-War?
Understanding Tourette Syndrome: Seeking the Right Specialist for Treatment
How to treat Tourette syndrome? Hello Dr. Lin, My brother is a patient with Tourette syndrome. He is currently a 24-year-old male facing military service issues. Our family has only gradually realized over the past 20 years that this is a medical condition. My father is concerne...
Dr. Lin Guanglin reply Rare Disease
You can visit the adult neurology department at major hospitals or consult Dr. Wang Hui-Hsiung at Chang Gung Children's Hospital.[Read More] Understanding Tourette Syndrome: Seeking the Right Specialist for Treatment