Week 4 Flashcards
What are some motor concerns that the parents have about their 18 mo old child?
Bad: not crawling normally not pulling to a stand not walking yet legs "stiff" most of the time arm crawls to get around Good: self feeds drinks from cup reaches for toys scribbles on paper rolls
What are some language concerns that the parents have about their 18 mo old child?
Bad: doesn't talk Good: does laugh does follow simple commands
What is a normal apgar score? What is Ben’s apgar score at birth?
7 & above normal; below 3 critically low
- *his was 8-9
- *tests complexion, pulse, reflex irritability, activity, respiratory effort
Ben has no righting reflexes intact. What does this mean?
these are reflexes to keep balance of orientation. It is initiated by the vestibular system. This means that Ben’s vestibular system may be compromised.
What does Ben’s clonus indicate?
indicates a possible UMN lesion
a sign of cerebral palsy
What does it mean that Ben’s DTRs are 3+?
this means that his reflexes are so strong, he is almost spastic. Sign of cerebral palsy
When do babies usu start walking?
14-17 mo
Which area appears to be compromised for Ben–Wernicke or Broca?
Broca seems to be compromised b/c he is not speaking words (should be able to say about 10)
Wernicke probably intact b/c responds to name.
What is the most common motor disorder in children?
cerebral palsy
What tests should Ben receive at this point?
MRI
if MRI abnormal–>EEG to check for epilepsy
CPK blood test
What would hint that Ben doesn’t have a metabolic disorder?
NORMAL growth, no liver involvement, no eye abnormalities - no chronic medical “crashes”
Which areas of infarction would explain Ben’s symptoms?
left temporal lobe–Broca’s area–language impairment
frontal lobe–premotor cortex & motor cortex
What are some possible causes of Ben’s infarctions?
coagulopathy disorders of mom or baby
TORCH infections
Is Ben’s intelligence affected?
not necessarily…although intelligence deficits are often seen in frontal lobe infarctions.
Overall, what are the things that support that Ben has cerebral palsy?
Cerebral palsy, due to the presence of infarctions on MRI, lack of speech development, lack of motor development in his legs, and hypertonicity in his legs.
