Aditi Shankardass: A second opinion on learning disorders

62,411 views ・ 2010-06-24

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When I was 10 years old,
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a cousin of mine took me on a tour of his medical school.
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And as a special treat,
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he took me to the pathology lab
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and took a real human brain
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out of the jar
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and placed it in my hands.
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And there it was,
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the seat of human consciousness,
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the powerhouse of the human body,
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sitting in my hands.
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And that day I knew that when I grew up,
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I was going to become a brain doctor,
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scientist, something or the other.
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Years later, when I finally grew up,
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my dream came true.
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And it was while I was doing my Ph.D.
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on the neurological causes
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of dyslexia in children
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that I encountered a startling fact
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that I'd like to share with you all today.
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It is estimated that one in six children,
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that's one in six children,
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suffer from some developmental disorder.
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This is a disorder that
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retards mental development in the child
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and causes permanent mental impairments.
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Which means that each and every one of you here today
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knows at least one child that is suffering
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from a developmental disorder.
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But here's what really perplexed me.
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Despite the fact that each
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and every one of these disorders
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originates in the brain,
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most of these disorders
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are diagnosed solely on the basis
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of observable behavior.
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But diagnosing a brain disorder
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without actually looking at the brain
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is analogous to treating a patient with a heart problem
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based on their physical symptoms,
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without even doing an ECG or a chest X-ray
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to look at the heart.
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It seemed so intuitive to me.
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To diagnose and treat a brain disorder accurately,
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it would be necessary to look at the brain directly.
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Looking at behavior alone
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can miss a vital piece of the puzzle
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and provide an incomplete, or even a misleading,
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picture of the child's problems.
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Yet, despite all the advances in medical technology,
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the diagnosis of brain disorders
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in one in six children
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still remained so limited.
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And then I came across a team at Harvard University
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that had taken one such advanced medical technology
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and finally applied it,
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instead of in brain research,
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towards diagnosing brain disorders in children.
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Their groundbreaking technology
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records the EEG, or the electrical activity
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of the brain, in real time,
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allowing us to watch the brain
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as it performs various functions
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and then detect even the slightest abnormality
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in any of these functions:
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vision, attention, language, audition.
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A program called Brain Electrical
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Activity Mapping
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then triangulates the source
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of that abnormality in the brain.
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And another program called
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Statistical Probability Mapping
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then performs mathematical calculations
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to determine whether any of these abnormalities
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are clinically significant,
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allowing us to provide a much more accurate
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neurological diagnosis
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of the child's symptoms.
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And so I became the head of neurophysiology
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for the clinical arm of this team,
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and we're finally able to use this technology
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towards actually helping
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children with brain disorders.
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And I'm happy to say that I'm now in the process
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of setting up this technology here in India.
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I'd like to tell you about one such child,
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whose story was also covered by ABC News.
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Seven-year-old Justin Senigar
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came to our clinic with this diagnosis
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of very severe autism.
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Like many autistic children,
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his mind was locked inside his body.
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There were moments when he would
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actually space out for seconds at a time.
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And the doctors told his parents
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he was never going to be able
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to communicate or interact socially,
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and he would probably never have too much language.
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When we used this groundbreaking EEG technology
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to actually look at Justin's brain,
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the results were startling.
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It turned out that Justin was almost
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certainly not autistic.
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He was suffering from brain seizures
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that were impossible to see with the naked eye,
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but that were actually causing symptoms
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that mimicked those of autism.
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After Justin was given anti-seizure medication,
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the change in him was amazing.
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Within a period of 60 days,
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his vocabulary went from two to three words
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to 300 words.
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And his communication and social interaction
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were improved so dramatically
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that he was enrolled into a regular school
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and even became a karate super champ.
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Research shows that 50 percent of children,
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almost 50 percent of children
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diagnosed with autism
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are actually suffering from hidden brain seizures.
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These are the faces of the children
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that I have tested
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with stories just like Justin.
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All these children
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came to our clinic with a diagnosis
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of autism, attention deficit disorder,
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mental retardation, language problems.
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Instead, our EEG scans revealed
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very specific problems hidden within their brains
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that couldn't possibly have been detected
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by their behavioral assessments.
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So these EEG scans
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enabled us to provide these children
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with a much more accurate neurological diagnosis
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and much more targeted treatment.
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For too long now, children with developmental disorders
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have suffered from misdiagnosis
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while their real problems have gone undetected
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and left to worsen.
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And for too long, these children and their parents
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have suffered undue frustration and desperation.
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But we are now in a new era of neuroscience,
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one in which we can finally look
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directly at brain function in real time
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with no risks and no side effects, non-invasively,
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and find the true source
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of so many disabilities in children.
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So if I could inspire
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even a fraction of you in the audience today
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to share this pioneering diagnostic approach
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with even one parent whose child
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is suffering from a developmental disorder,
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then perhaps one more puzzle
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in one more brain will be solved.
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One more mind will be unlocked.
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And one more child who has been misdiagnosed
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or even undiagnosed by the system
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will finally realize his or her true potential
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while there's still time
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for his or her brain to recover.
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And all this by simply watching the child's brainwaves.
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Thank you.
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(Applause)
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