By Mary P. Lindsey
First released in 2002. Routledge is an imprint of Taylor & Francis, an informa corporation.
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This may be reactivated at various crisis points throughout life. There are three stages of this reaction. The first is numbness and disbelief when it is difficult to take in information. The second is overt grief and distress. The third is the development of strategies for dealing with the situation. J. (1986) Bereavement in the mentally handicapped. Brit. J. Hosp. , 36(4):256–260. OSWIN, M. (1981) Bereavement and Mentally Handicapped People. London: King’s Fund Centre. STRACHAN, J. (1981) Reaction to bereavement: a study of a group of mentally 35 Bereweeke handicapped hospital residents.
It is usually diagnosed when an abnormal sound is heard by a doctor listening to the heart with a stethoscope. The ‘murmur’ is made by the turbulence of the blood as it passes through the hole. Children with mental handicap caused by factors operating before birth may have an associated abnormality of the heart. It is, for example, more common than usual in people with Down’s syndrome, Smith-Lemli-Opitz syndrome, de Lange syndrome, Goltz’s syndrome and many chromosome abnormalities. Atrophia oculi congenita = Norries syndrome.
There is deterioration in vision and increasing brain damage resulting in seizures, unsteadiness, weakness, spasticity and mental handicap. The electroencephalogram shows a characteristic pattern on photic stimulation. Death usually occurs within a few years. It is 36 PAMPIGLIONA, G. & MARDEN, A. (1973) A neuro-physiological identification of a late infantile form of ‘neuronal lipidosis’. J. Neurol. Neurosurg. , 36:68–74. Biemond’s syndrome = Laurence-Moon-Biedl syndrome. Bimanual synkinesis This unusual symptom is described in people with abnormalities of the upper region of the spine (as occurs in Klippel-Feil syndrome).