Aditi Shankardass: A second opinion on learning disorders

62,364 views ・ 2010-06-24

TED


Please double-click on the English subtitles below to play the video.

00:16
When I was 10 years old,
0
16260
3000
00:19
a cousin of mine took me on a tour of his medical school.
1
19260
3000
00:22
And as a special treat,
2
22260
2000
00:24
he took me to the pathology lab
3
24260
2000
00:26
and took a real human brain
4
26260
2000
00:28
out of the jar
5
28260
2000
00:30
and placed it in my hands.
6
30260
2000
00:32
And there it was,
7
32260
2000
00:34
the seat of human consciousness,
8
34260
2000
00:36
the powerhouse of the human body,
9
36260
2000
00:38
sitting in my hands.
10
38260
2000
00:40
And that day I knew that when I grew up,
11
40260
2000
00:42
I was going to become a brain doctor,
12
42260
2000
00:44
scientist, something or the other.
13
44260
3000
00:47
Years later, when I finally grew up,
14
47260
3000
00:50
my dream came true.
15
50260
2000
00:52
And it was while I was doing my Ph.D.
16
52260
2000
00:54
on the neurological causes
17
54260
2000
00:56
of dyslexia in children
18
56260
2000
00:58
that I encountered a startling fact
19
58260
2000
01:00
that I'd like to share with you all today.
20
60260
3000
01:04
It is estimated that one in six children,
21
64260
2000
01:06
that's one in six children,
22
66260
3000
01:09
suffer from some developmental disorder.
23
69260
3000
01:13
This is a disorder that
24
73260
2000
01:15
retards mental development in the child
25
75260
2000
01:17
and causes permanent mental impairments.
26
77260
3000
01:21
Which means that each and every one of you here today
27
81260
3000
01:24
knows at least one child that is suffering
28
84260
3000
01:27
from a developmental disorder.
29
87260
3000
01:30
But here's what really perplexed me.
30
90260
2000
01:32
Despite the fact that each
31
92260
2000
01:34
and every one of these disorders
32
94260
2000
01:36
originates in the brain,
33
96260
3000
01:39
most of these disorders
34
99260
2000
01:41
are diagnosed solely on the basis
35
101260
2000
01:43
of observable behavior.
36
103260
3000
01:46
But diagnosing a brain disorder
37
106260
2000
01:48
without actually looking at the brain
38
108260
3000
01:51
is analogous to treating a patient with a heart problem
39
111260
3000
01:54
based on their physical symptoms,
40
114260
2000
01:56
without even doing an ECG or a chest X-ray
41
116260
3000
01:59
to look at the heart.
42
119260
2000
02:01
It seemed so intuitive to me.
43
121260
3000
02:04
To diagnose and treat a brain disorder accurately,
44
124260
3000
02:07
it would be necessary to look at the brain directly.
45
127260
3000
02:10
Looking at behavior alone
46
130260
2000
02:12
can miss a vital piece of the puzzle
47
132260
3000
02:15
and provide an incomplete, or even a misleading,
48
135260
3000
02:18
picture of the child's problems.
49
138260
3000
02:21
Yet, despite all the advances in medical technology,
50
141260
3000
02:24
the diagnosis of brain disorders
51
144260
2000
02:26
in one in six children
52
146260
2000
02:28
still remained so limited.
53
148260
3000
02:32
And then I came across a team at Harvard University
54
152260
3000
02:35
that had taken one such advanced medical technology
55
155260
3000
02:38
and finally applied it,
56
158260
2000
02:40
instead of in brain research,
57
160260
2000
02:42
towards diagnosing brain disorders in children.
58
162260
3000
02:46
Their groundbreaking technology
59
166260
2000
02:48
records the EEG, or the electrical activity
60
168260
3000
02:51
of the brain, in real time,
61
171260
3000
02:54
allowing us to watch the brain
62
174260
2000
02:56
as it performs various functions
63
176260
3000
02:59
and then detect even the slightest abnormality
64
179260
2000
03:01
in any of these functions:
65
181260
2000
03:03
vision, attention, language, audition.
66
183260
3000
03:06
A program called Brain Electrical
67
186260
2000
03:08
Activity Mapping
68
188260
2000
03:10
then triangulates the source
69
190260
2000
03:12
of that abnormality in the brain.
70
192260
2000
03:14
And another program called
71
194260
2000
03:16
Statistical Probability Mapping
72
196260
2000
03:18
then performs mathematical calculations
73
198260
3000
03:21
to determine whether any of these abnormalities
74
201260
2000
03:23
are clinically significant,
75
203260
2000
03:25
allowing us to provide a much more accurate
76
205260
2000
03:27
neurological diagnosis
77
207260
2000
03:29
of the child's symptoms.
78
209260
2000
03:31
And so I became the head of neurophysiology
79
211260
3000
03:34
for the clinical arm of this team,
80
214260
2000
03:36
and we're finally able to use this technology
81
216260
2000
03:38
towards actually helping
82
218260
2000
03:40
children with brain disorders.
83
220260
2000
03:42
And I'm happy to say that I'm now in the process
84
222260
2000
03:44
of setting up this technology here in India.
85
224260
3000
03:48
I'd like to tell you about one such child,
86
228260
3000
03:51
whose story was also covered by ABC News.
87
231260
3000
03:55
Seven-year-old Justin Senigar
88
235260
2000
03:57
came to our clinic with this diagnosis
89
237260
2000
03:59
of very severe autism.
90
239260
2000
04:01
Like many autistic children,
91
241260
2000
04:03
his mind was locked inside his body.
92
243260
3000
04:06
There were moments when he would
93
246260
2000
04:08
actually space out for seconds at a time.
94
248260
3000
04:11
And the doctors told his parents
95
251260
2000
04:13
he was never going to be able
96
253260
2000
04:15
to communicate or interact socially,
97
255260
2000
04:17
and he would probably never have too much language.
98
257260
3000
04:21
When we used this groundbreaking EEG technology
99
261260
3000
04:24
to actually look at Justin's brain,
100
264260
3000
04:27
the results were startling.
101
267260
3000
04:30
It turned out that Justin was almost
102
270260
2000
04:32
certainly not autistic.
103
272260
2000
04:34
He was suffering from brain seizures
104
274260
3000
04:37
that were impossible to see with the naked eye,
105
277260
3000
04:40
but that were actually causing symptoms
106
280260
2000
04:42
that mimicked those of autism.
107
282260
3000
04:45
After Justin was given anti-seizure medication,
108
285260
3000
04:48
the change in him was amazing.
109
288260
3000
04:51
Within a period of 60 days,
110
291260
2000
04:53
his vocabulary went from two to three words
111
293260
3000
04:56
to 300 words.
112
296260
2000
04:58
And his communication and social interaction
113
298260
2000
05:00
were improved so dramatically
114
300260
2000
05:02
that he was enrolled into a regular school
115
302260
3000
05:05
and even became a karate super champ.
116
305260
3000
05:09
Research shows that 50 percent of children,
117
309260
2000
05:11
almost 50 percent of children
118
311260
2000
05:13
diagnosed with autism
119
313260
2000
05:15
are actually suffering from hidden brain seizures.
120
315260
3000
05:20
These are the faces of the children
121
320260
2000
05:22
that I have tested
122
322260
2000
05:24
with stories just like Justin.
123
324260
3000
05:27
All these children
124
327260
2000
05:29
came to our clinic with a diagnosis
125
329260
2000
05:31
of autism, attention deficit disorder,
126
331260
3000
05:34
mental retardation, language problems.
127
334260
3000
05:38
Instead, our EEG scans revealed
128
338260
3000
05:41
very specific problems hidden within their brains
129
341260
3000
05:44
that couldn't possibly have been detected
130
344260
2000
05:46
by their behavioral assessments.
131
346260
3000
05:49
So these EEG scans
132
349260
2000
05:51
enabled us to provide these children
133
351260
2000
05:53
with a much more accurate neurological diagnosis
134
353260
3000
05:56
and much more targeted treatment.
135
356260
3000
06:00
For too long now, children with developmental disorders
136
360260
3000
06:03
have suffered from misdiagnosis
137
363260
2000
06:05
while their real problems have gone undetected
138
365260
2000
06:07
and left to worsen.
139
367260
2000
06:09
And for too long, these children and their parents
140
369260
3000
06:12
have suffered undue frustration and desperation.
141
372260
3000
06:15
But we are now in a new era of neuroscience,
142
375260
3000
06:18
one in which we can finally look
143
378260
3000
06:21
directly at brain function in real time
144
381260
3000
06:24
with no risks and no side effects, non-invasively,
145
384260
3000
06:27
and find the true source
146
387260
2000
06:29
of so many disabilities in children.
147
389260
3000
06:32
So if I could inspire
148
392260
2000
06:34
even a fraction of you in the audience today
149
394260
3000
06:37
to share this pioneering diagnostic approach
150
397260
3000
06:40
with even one parent whose child
151
400260
2000
06:42
is suffering from a developmental disorder,
152
402260
3000
06:45
then perhaps one more puzzle
153
405260
2000
06:47
in one more brain will be solved.
154
407260
2000
06:49
One more mind will be unlocked.
155
409260
2000
06:51
And one more child who has been misdiagnosed
156
411260
2000
06:53
or even undiagnosed by the system
157
413260
3000
06:56
will finally realize his or her true potential
158
416260
3000
06:59
while there's still time
159
419260
2000
07:01
for his or her brain to recover.
160
421260
2000
07:03
And all this by simply watching the child's brainwaves.
161
423260
3000
07:06
Thank you.
162
426260
2000
07:08
(Applause)
163
428260
2000
About this website

This site will introduce you to YouTube videos that are useful for learning English. You will see English lessons taught by top-notch teachers from around the world. Double-click on the English subtitles displayed on each video page to play the video from there. The subtitles scroll in sync with the video playback. If you have any comments or requests, please contact us using this contact form.

https://forms.gle/WvT1wiN1qDtmnspy7