Neurology

Question 1

What are the main risk factors for Cerebral Palsy?

Answer 1

o Vascular occlusion
o Cortical migration disorders
o Structural maldevelopment of the brain during gestation
o Genetic syndromes
o Congenital infection

10% are during delivery:
o Hypoxic/Ischaemic injury

Less than 10% are postnatal:
o Meningitis
o Encephalitis
o Encephalopathy
o Head trauma from accidental or non-accidental injury
o Symptomatic hypoglycaemia
o Hydrocephalus
o Hyperbilirubinaemia

Question 2

What are the three types of Cerebral Palsy?

Answer 2

• There are three main clinical subtypes -> mixed pattern may occur
o Spastic - 90%
o Dyskinetic - 6%
o Ataxic - 4%