Diagnosis: Spina bifida aperta at L1 – S2 – surgically corrected, bottom flaccid paraplegia; Internal hydrocephalus – VP shunt was placed on October 03, 2011; Brain atrophy and agenesis of corpus callosum; Partial atrophy of the optic nerve; Accidental cardiac murmur; Iron-insufficiency anemia
Due to the spina bifida, the child is moving in the space by crawling and with the help of his hands (the legs are lacking movements and sensitivity). He sits actively and makes attempts to pull up to a standing position by holding on to a support. He demonstrates motion activity and initiative. He gets to an object desired by him. If a toy is taken away from him by another child, he cries. He is with good visual-motor coordination (eye-hand, hand-hand), picks up objects and transfers them from one to another hand, all the while the eyes following the movements. He traces with a look a falling object. He follows with a look in all four directions (left/right/up/bottom). He has a palmar grip. He plays with the toys according to their purpose.
The speech background is at the level of accidental combinations of sounds and doubling the syllables. He “babbles”. He uses at least three conscious words. He understands simple orders – “come here”, and “give me this”. He turns when called by his name. He differentiates between familiar persons and strangers. He differentiates the tone of the speech. He hums 2-3 melodies of children’s songs. He makes a good eye contact. He is in the beginning stage of imitation. He is calm and with good emotional tonus. He is emotionally responsive. He purposefully seeks the contacts with adults and children. He demonstrates jealousy if not paid attention. He is easily calmed down when picked up. He eats with appetite from a spoon and fed by an adult. He drinks independently from a cup.
Because we only have this child’s file for a short time, he will not be able to receive donations until a family is found for him.