Fetal Alcohol Spectrum Disorders Ira J. Chasnoff, MD

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Presentation transcript:

Fetal Alcohol Spectrum Disorders Ira J. Chasnoff, MD irachasnoff@gmail Fetal Alcohol Spectrum Disorders Ira J.Chasnoff, MD irachasnoff@gmail.com (C) NTI Upstream, 2018

The Fetal Alcohol Spectrum: Diagnostic Criteria Confirmed prenatal alcohol exposure Growth impairment Facial dysmorphology (3) short palpebral fissures flat elongated philtrum thin upper lip (C) NTI Upstream, 2018

Microcephaly Epicanthal folds Short palpebral fissures Flat nasal bridge Low set ears Flattened midface Short, upturned nose Flat philtrum Thin upper lip Receding jaw (C) NTI Upstream, 2018 © NTI Upstream, 2015

The Fetal Alcohol Spectrum: Diagnostic Criteria Confirmed prenatal alcohol exposure Growth impairment Facial dysmorphology Neurodevelopmental disorder structural, neurological or functional CNS deficits (C) NTI Upstream, 2018

FASDs FAS ND-PAE pFAS ARBD (C) NTI Upstream, 2018

Risk Factors Dose of alcohol Pattern of exposure - binge vs chronic Developmental timing of exposure Genetic variation Maternal characteristics (C) NTI Upstream, 2018

Brain Damage from Prenatal Alcohol Exposure (C) NTI Upstream, 2018

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Information Processing Neurocognitive functioning Adaptive Self-regulation functioning (C) NTI Upstream, 2018

Neurodevelopmental Disorder Neurognitive functioning Normal global cognition Executive functioning deficits Learning disabilities Memory problems (C) NTI Upstream, 2018 © NTI Upstream, 2015

Neurodevelopmental Disorder Neuorcognitive functioning Self-regulation Attention Problems Impulsivity Mood swings (C) NTI Upstream, 2018 © NTI Upstream, 2015

Information Processing Neurocognitive functioning Adaptive functioning Self-regulation Communication deficits Impaired social skills Abstract reasoning Concept formation (C) NTI Upstream, 2018

ntiupstream.com (C) NTI Upstream, 2018