When a rare development delay syndrome is found to respond to homeopathy it is imperative to let people know about it. Presenting this case goes some way towards answering the question of “What is the scope of homeopathy?” This case history by Dr Vaishali D. M received recognition as the best Oral Presenter at the 1st Malaysian International Integrative Healthcare Conference (MIIHC 2017). More research on this topic is called for.
What is Baraitser Winter Syndrome?
Baraitser Winter Syndrome (BWS) is a condition that affects the development of multiple parts of the body, particularly, the brain and the face. An unusual facial appearance is the most common characteristic of BWS. Distinctive facial features which include hypertelorism (an abnormally increased distance between the eyes), ptosis (drooping of the upper eyelid), high arched eyebrows, broad nasal bridge and philtrum (a long space between the nose and upper lip). Structural brain abnormalities are also present which can cause mild to severe intellectual disability, developmental delays and seizures. Living with a genetic or rare disease such as BWS can very much impact the daily lives of patients and families.
Baraitser-Winter syndrome is a rare condition which was originally described in a brother and sister and in an unrelated girl in 1988. Fewer than 50 cases have been reported in the medical literature.
A case history from Dr Vaishali D. M.
A child born with Baraitser Winter Syndrome was presented to me. The child had facial dismorphism, bilateral Iris Coloboma, bilateral broad and short big toe & thumb, developmental delay, right undescended testis, bilateral deafness. The little boy also had complaints of watering eyes, recurrent dry cough on weather change accompanied with itching in ears and eyes. He was born to a couple of consanguineous 1st degree marriage.
Neonatal history, follow ups and investigations
- Birth weight : 2.3 kgs
- Head circumference : 32 cms
- The child was born by lower segment Cesarian section with respiratory distress and had under developed scrotum and right undescended testis
- On examination, the child was also identified to have bilateral minimal to mild hearing loss and on genetic examination was diagnosed with Baraitser Winter Syndrome.
- History of delayed milestones with neck holding at 7 ½ months and rolling at 7 ½ months. Social smile, monosyllable speech not attained. The child was at the time unable to walk.
- Neurodevelopmental follow-up by a multi-disciplinary team involving cognitive impairment and devising appropriate suppor.
- Opthalmologic follow-up because of Colobama or microphthalmia with systematic screening for intraoculae hypertension and glaucoma. Although glaucoma has not been reported to date, it is a known complication of Colobamatous microphthalmic.
- Routine follow-up of deafness.
- Cardiac defect follow-up (adapted to the type of Congenital heart disease identified).
- Screening for malignancies
Deciding on homeopathic treatment for this child with Baraitser Winter Syndrome
A detailed case of the child was taken according to the prescribed Homoeopathic principles. Importance was given to the maternal pregnancy history. The mother of the child experienced stress during her pregnancy, due to property disputes within the family and she had felt that grave injustice was done during the partition/distribution of family properties. Around the same time, there was the death of her grandfather, towards whom, the mother was very closely attached. Further due to the prevailing customs and practices, mother was not allowed to participate in the funeral rituals due to her pregnancy. Due to which, the mother faced a lot of mental stress and was dejected that she was not allowed to perform her last rites to her grandfather.
The following Repertorial rubrics were taken based on the history:
- Mind – delusion – neglected duty, he has neglected his
- Mind – ailments from, deceived from being
- Mind – weeping – sleep in
- Generals – food & drinks – sweet desire
- Generals – food & drinks – sour aversion
- Head – large size
- Generals – development arrested
- Face – distortion
- Male genetalia/sex – retraction testis
On repertorisation and careful analysis, the homeopathic remedy Lycopodium 0/1 was chosen as a provisional prescription. During follow-up, it was seen that there was initial improvement in generals, the child’s appetite and sleep improved. The child was also better with constipation. The Lycopodium was continued.
After three months, there was improvement seen in hearing and the child could walk with support. He was able to recognize people & objects. There was improvement in weight. The same medicine was continued.
On 5th month of treatment, there was improvement in vision of the child and on examination, right testis was palpable. Ultrasound and other tests were repeated to confirm the same.
Conclusion: Before and After
The treatment demonstrates the scope of Homoeopathic medicines in treating Baraitser Winter Syndrome, which reflects significant improvement in motor and functional skills of the child, which otherwise, in pre-treatment was grossly missing. More research is called for.
Medical reports with past treatment history of the developmental delay case have been peer reviewed.
Case by Dr Vaishali D.M.
Address: Dr Vaishalis Homeopathy Clinic
No: 385, 4th Main road, 9th Block, Kalyan nagar, Nagarbhavi 2nd stage, Bangalore 560 072.
Thank you to Dr Vaishali D. M. for contributing this developmental delay Lycopodium case to the Aurum Project case histories.
The case received recognition as the best Oral Presenter at the 1st Malaysian International Integrative Healthcare Conference (MIIHC 2017).
The title of her presentation was :”Homoeopathic management of children with special needs. Efficacy of Homeopathic Medicines on functioning in a child with Baraister Winter Syndrome.”
Qualifications: B.H.M.S. from, Father Mullers Homoeopathic Medical College, Mangalore. M.D. (Paediatrics).
GOLD MEDALLIST from Vinayaka Missions Homoeopathic Medical College, Salem.
C.G.O, at BIMT, Pune. 2016
Paediatric and Neonatal Intensive Care Unit at Indira Gandhi Institute Of Child Health, Bengaluru.