Cerebral Palsy Flashcards Preview

Hugh's MD3 Paediatrics > Cerebral Palsy > Flashcards

Flashcards in Cerebral Palsy Deck (12):
1

What do all CP patient have in common?

Physical disability

2

What is CP?

Any permanent disorder of movement and posture that isn't due to a progressive neurological condition and occurs before the age of 5

3

What deficits often accompany motor deficits in CP?

Visual (40%)
Hearing (3-10%)
Speech and language
Epilepsy
Cognitive impairment

4

How do CP patients often present?

- Delayed milestones - sitting, standing, walking
- Asymmetric motor patterns - particularly arm predominance
- Abnormalities of muscle tone - particularly spasticity or hypotonia
- Mx problems - eg difficultly feeding or irritability

5

How might you Ix CP of unknown cause?

Urine/Plasma metabolic screen
Consider congenital infections
Chromosomal analysis
MRI

6

What are some common medical issues related to CP?

Medical
- Vision/hearing deficits
- Epilepsy
- Failure to thrive
- Osteoporosis
- GORD
- Incontinence
- Chronic aspiration

Surgical
- Contractures

7

What are some management option for spasticity?

- Oral medications - diazepam, baclofen, dantrolene sodium
- Inhibitory casts
- Botulinum toxin A
- Intrathecal baclofen
- Selective dorsal rhizotomy

8

What is baclofen?

A CNS depressant used as a skeletal muscle relaxant
- GABA agonist

9

What is the role of non-medical staff in CP?

Physio - LL focus, positioning, help oppose spasticity, provide aids
OT - UL focus
SP - Help facilitate communication

10

What are some common causes of ED presentations?

Aspiration pneumonia
Seizures, statis epilepticus
Unexplained irritability - infection, MSK

11

What is Phalen McDermid syndrome?

A rare genetic disorder caused by chromosome 22q13 deletion characterised by
- Global developmental delay
- Absent/delayed speech
- Intellectual disability
- Hypotonia

12

What are the patterns of motor deficit seen in CP?

Quadriplegia
Hemiplegia
Diplegia
Monoplegia