Thursday, May 15, 2008
Visuo Spatial Processing Disorder in real life
The parent that has a child diagnosed with CPor Encephalopathy that does not ever have issues with some sort of Learning disability is Rare and Lucky. My son is only 6 and I feel as tho I could sit for any state licensing board for Exceptional Student Ed and Pass with flying colors without having taken one class. One of many things we deal with include visual processing difficulties. My son has difficulty "integrating multiple fields of vision". One simple test the Neurologist did in office that completely showed the problem was as follows. Neurologist took his finger and asked David to follow it with his eyes. He made one large sweeping circular movement. When he was outlining the top half of the circle (abovethe midline of visual fields) my son followed his finger, and as soon as the doctor's hand went below the midline into the lower field of vision David noticeably stopped following the finger. It was as if the hand just magically disappeared. Out of sight out of mind. He has all fields ofvision, but connecting them together is difficult. He too, will trip over large objects and stumble down any uneven patch of ground or small curb or step. For instance, if I left the vacuum out, he would walk towards it, reach out for the handle so he wouldn't bump into it and fall down, only to fall right over the base of the motor on the vacuum. He doesn't appear to see from midline down, so he has learned to compensate. He does so much better navigating his environment, but he needs to be constantly aware. We had to and continually have to say "look down, there is a small step". Heused to be deathly afraid of walking from surface to surface, even the ones that were the same level like a floor that had a tile pattern on it. He has learned to recognize the bright yellow strip of paint on walkways that indicate a step down and can even walk down a small step while standing. Before, he would sit down, turn over and go down even the smallest step backwards on his hands and knees. Standard sized stairs he still needs to hold on to the railing or an adults hand when going up or down. It is coming to light how much this effects his success in school. He also has epilepsy and spikes in his temporal lobe. Seizure activity there seems to wreak havoc on his visual processing at times(and cause Hallucinations as weare now aware). He will flip numbers. For instance he will say a number,(14) then go to write the number but writes it (41) yet sees it as 14. When you try to correct him, he just states "14, that is what I wrote". Most of the time, he gets his numbers right, and it is only periodically he flips them. It is now coming to light, there seems to be a correlation between temporal lobe seizures just prior to these visual disturbances at least with writing numbers. He is so young, and has significant expressive language delays so it is difficult to really get a firm grasp on the complexity of the issue. Only time and alot of guesswork will yield the answer. He has learned how to copy certain patterns(in 1 dimension), but still has difficulty if trying to copy a pattern that is 3 D. For instance, a psychological test commonly used has red and white blocks with varying patterns on each side. All white, all red, half white and red either to make 2 rectangles or two triangles on each side. When trying to copy a patternwhen there are distractions (like the side of the block interfering with his processing the correct visual image) he has great difficulty. Hard to explain, I could draw it out but not on this blog. I have noticed that figuring out what is going on in terms of learning differences seems to be getting easier. I remember just a year ago pulling my hair out because my son had difficulty copying a pattern more than 3 objects at a time. I remember wanting Valium or a strong Martini at the end of the day during the period of time David was learning how to walk and ALL the issues accompanying that like I mentioned above (refusing to walk on a patterned or painted floor, refusing to walk thru a door threshold, constantly tripping and falling etc. I didn't get it and just thought at times he was being bratty or tantruming like an obnoxious toddler. I questinoed my own parenting ability because there were times I thought the entire cosmos was against me. I am not intimating that I get it now, but it is MUCH easier to figure out. Things are really starting to come together toform a clearer picture of what is going on with his mind. But that will change over time, and a newer picture will be painted as he gets older. Butthe longer you have experiencing this the better you will get at handling itall. I hope this makes sense to some of you.
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