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Medical Causes of Intellectual Disabilities: Infections and Brain Damage

Tammy Reynolds, B.A., C.E. Zupanick, Psy.D. & Mark Dombeck, Ph.D.

Infections:

Certain types of infections can lead to intellectual disabilities. Pregnant women can take simple steps to reduce these risks. These infections are represented by the acronym TORCH. Each letter of TORCH stands for a different infection:

T- Toxoplasma infection (toxoplasmosis) is caused by a parasite. This parasite can be found throughout the world in warm-blooded animals. Cat feces are often one of the greatest concerns. It can also be introduced through undercooked meats that are infected with the parasite. The parasite can live in the ground. People may ingest the parasite by getting dirt in their mouths. This can occur during simple activities like gardening. Pregnant women should not garden, particularly in places where cats may defecate. They should not handle or clean cat liter boxes.

Toxoplasmosis is insidious in that there are no symptoms during the pregnancy. Once the child is born, the symptoms emerge. These include jaundice, rashes, and an enlarged liver and spleen. Toxoplasmosis has a profound effect on the baby's central nervous system. Unfortunately, these effects may not be recognized for months or even years. Usually this is when signs of learning disabilities or intellectual disability surface.

O- Other infections, including Hepatitis B, syphilis, and the virus herpes zoster, that causes chicken pox. Pregnant women should practice safe sex and use condoms to reduce the risk of exposure. Women planning to become pregnant should talk to their doctor about testing for these infections.

R- Rubella, the contagion that causes German measles. It is commonly associated with intellectual disabilities in infants. This insidious condition is passed from mother to baby during pregnancy. The mother's symptoms are mild, including rash and a low-grade fever. The symptoms present after birth and include intellectual disability or even death.

C- Another virus, cytomegalovirus, is so common that nearly everyone has contracted it before reaching adulthood. If the virus is contracted during teenage and young adult years, it is commonly known as mononucleosis. Cytomegalovirus may be passed from mother to fetus if she has contracted the condition for the very first time while pregnant. Five percent of babies who contract the virus have significant developmental problems including blindness and brain damage.

H- Herpes simplex II is a sexually transmitted disease. Once contracted, there is no cure. The signs are very tender blisters. The virus may remain dormant in the carrier's body until some stressor activates the virus. In this dormant state, it is not contagious. However, when blisters appear and open, it is highly contagious. An infant can contract this virus from the mother during pregnancy if the mother contracts herpes simplex virus during pregnancy. It can also be transmitted if the mother has an active outbreak during birth. The condition can be detrimental to a newborn, resulting in significant brain damage and possibly death.

Brain Damage and Intellectual Disabilities:

Several types of brain damage can lead to an intellectual disability (ID, formerly mental retardation). These are: 1) Traumatic Brain Injury (TBI), 2) congenital brain damage, and 3) progressive brain damage.

Congenital conditions are present before birth. Degenerative conditions occur after birth. They are progressive in nature. One progressive brain diseases is spinal muscular atrophy. This is an inherited neuromuscular disorder. Another is Batten disease. This is an inherited metabolic disease. It leads to the progressive decline of brain functioning.

Traumatic Brain Injuries (TBI) are injuries to the brain that occur after birth (but before age 18). Many brain injuries are preventable. These injuries may be caused by an auto accident, a blow to the head, or a fall. Children should always ride in an approved child safety seat. The seat must be installed and used correctly. Follow the manufacturer's instructions for installation and use. If a family cannot afford a safety seat, there are agencies that can provide them. Ask your healthcare provider for information. Children should always wear helmets when riding bikes, skateboards, etc.

Brain injury also occurs when infants are shaken or dropped. This unfortunate situation often occurs when caregivers are frustrated. Caring for infants can be extremely stressful. It is natural to feel frustrated. Ask your healthcare provider to refer you to someone who can teach you better ways to cope stress.

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Resources

  • Articles

    • Introduction to Intellectual Disabilities
    • Causes of Intellectual Disabilities
    • Diagnosis of Intellectual Disabilities
      • The Diagnosis of Intellectual Disabilities
      • Psychological Tests and Intellectual Disabilities
      • Psychological Tests and Intellectual Disabilities Continued
      • Tests of Adaptive Functioning
      • Diagnostic Criteria for Intellectual Disabilities: DSM-5 Criteria
      • The American Association on Intellectual and Developmental Disabilities (AAIDD) Diagnostic Criteria for Intellectual Disability
      • Comparing the APA and the AAIDD Diagnostic Criteria for Intellectual Disability
      • Intellectual Disability and Severity Codes
      • Intellectual Disability and Other Psychiatric Disorders
    • Historical & Contemporary Perspectives of Intellectual Disabilities
      • Historical And Contemporary Perspectives on Intellectual Disabilities
      • Early Medical Explanations of Intellectual Disability
      • History of Stigmatizing Names for Intellectual Disabilities
      • History of Stigmatizing Names for Intellectual Disabilities Continued
      • Reducing the Stigma of Intellectual Disabilities: The Evolution of Modern Medical Explanations
      • Paving the Way to a Modern Conception of Intellectual Disability: Advancements in Intelligence Testing
      • Advancements in Genetic Research
      • Social and Political Controversies Associated with Intellectual Disabilities
      • Reproductive Rights for People with Intellectual Disabilities
    • Intellectual Disabilities & Supportive Rehabilitation
      • Intellectual Disabilities and Supportive Rehabilitation: Developing an Individualized Support Plan (ISP)
      • Educational Supports and Individual Educational Plans (IEPs)
      • The Choice of Educational Settings: The Pros and Cons of Mainstreaming Children With Intellectual Disabilities
      • Effective Teaching Methods for People With Intellectual Disabilities
      • Applied Behavioral Analysis (ABA) and Intellectual Disabilities
      • Physical Therapy and Sensory Skills Training
      • Individualized Support Plans: Adaptive Functioning & Life Skills
      • Social Skills Training
      • Supported Employment and Integrated Work Sites
      • Supported Housing and Community Integration
      • Therapies for Intellectual Disabilities and Outdated/Unproven Treatments
    • Support for Families of People with Intellectual Disabilities
      • Additional Support Services for People with Intellectual Disabilities and Their Families: Community Supports
      • Additional Support Services: Financial Supports
      • Additional Support Services: Family Supports
      • Additional Support Services: Advocacy and Legal Supports
    • Intellectual Disabilities Summary & Conclusion
      • Intellectual Disabilities Summary and Conclusion
    • Intellectual Disabilities Resources & References
      • Intellectual Disabilities Resources and References
      • Intellectual Disabilities Document Revision History
  • Book & Media Reviews

    • A Special Education
    • Living with Mild Cognitive Impairment
  • Videos

    • What is Intellectual Disability?
    • Let's Talk About Intellectual Disabilities: Loretta Claiborne
    • What Causes an Intellectual Disability?
    • What Is An Intellectual Disability?
    • What's disability to me? Mia's story.
    • Primary Care of Children and Young Adults with Down Syndrome
    • Dr. Tim Shriver: Intellectually Different ... Not Disabled
    • Living with Down Syndrome: Parents, Health Professionals and Personal Perspectives