Neuromuscular/ Neurological Disorders Related Lung Diseases

Children with neurological problems usually have recurrent or persistent respiratory problems. There are various types problems seen in different types of neurological patients.

Neurological Disorders
Children with neurological disorders like cerebral palsy, neurodevelopmental delay etc. have recurrent pneumonias related to aspiration of food and saliva. Children with neurological disorders also have gastro-esophageal reflux disease (GERD) which contributes to respiratory problems. Children with neurological disorders get multiple hospital admissions.

Children with neurological disorders who have recurrent respiratory problems need careful evaluation. Evaluation for GERD and “aspiration” is required.

Neuromuscular Disorders
Children with Neuromuscular Disorders like e.g Duchenne Muscular Dystrophy (DMD), Spinal Muscular Atrophy (SMA), congenital myopathy etc develop chronic respiratory problems due to weakness of the chest muscles. Children with neuromuscular disorders develop weak cough and inability to clear the mucus from the lungs. This later leads to respiratory failure.

Children with Neuromuscular Disorders require regular pulmonology follow up including lung function tests and sleep studies. These children require good chest physiotherapy to remove secretions from the lungs. Some children later might need night time non-invasive ventilation in form of BiPaP for maintaining there lungs in a good shape. We at BLK MAX hospital run a pediatric home ventilation program.