cerebral palsy Flashcards
what is cerebral palsy
disorder of movement and posture meaning which has a range of presentations in some affects arms and legs, other children one area specifically
life long
thing to mention about cp
DOES NOT PROGRESS I.E. WORSEN over time
but as child grows up symptoms become more apparent as may struggle with some things and delay in milestones
how common is cp
2 babies 1000
but most common disorder of movement
causes of cp
injury to developing brain
sx depend on area affected
Atenatal 80% - infection during pregnancy, prematurity, congenital malformation, torch, exposure to some chemicals like alcohol
congenital malformations
perinatal - HIE, low birth weight, neonatal sepsis
post natal -encephalitis, meningitis, infection, trauma, hyperbilirumenia, seizures
ways to prevent
magnesium sulphate if PROMMS ,eclampsia
dexamethsosone
prevent kerniticus In early days of life
prevent early delivery through prolonging preterm labour
usually picked up when
symptoms
4-12 months but can be later due to delay in motormilstones feeding difficulities gait problems floppy baby- abnormal tone involuntary movement persistence reflexes
what other things in with cp
Intellectual impairment 60-70%
Squint and epilspy - 30%
20 hearing problems
list all types
hemiplegia diplegia quadriplegia ataxia dystonic spasitic choreoatheosis
describe each type
hemiplegia - affects one side of body, arm and leg, usually tip toe on affected side
can have mAGIC CARPET SIGN IN IFANCY -legs flexed out 90 degree to trunk when picked up
diplegia -lower limbs worsen, can affect upper limbs but tend to appear normal functioning
quadriplegia all four limbs, abnormal postures, severe, knees together, feet legs inwards odd hand and head movements
ataxia -cerebellum affect -tremors, uncoordinated movement dystonic -upper limbs affected athetosis -lower limbs affected spasitic (70%) increased tone choreoatheosis
mx of it
MDt- SALT, Paediatricians, physiotherapy, social workers, occupational therapist, hearing -audiology, squint - opticians, dieticians social input baclofen botulin A diazepam
which one is likely to result from hyperbilirubinema
dyskinetic -low tone and ataxia
varying tone
which one has seizures and what else
quadriplegia
also microcelphy
poor head control
where does spastic CP initially happen due to damage to wear
corticospinal tract
