Cerebral Palsy: Silvana Benavides

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CEREBRAL PALSY

Silvana Benavides
Definition
Abnormality of movement and posture, causing
activity limitation attributed to non-progressive
disturbances that occurred in the developing
fetal or infant brain
Aetiology
Caused by developmental, genetic,
metabolic, ischemic, infections

Antenatal Intrapartum Postpartum


factors (80%) (10%) (10%)

Very high fever


Infection Brain infection
- German measles
Asphyxia
Head injury
- Shingles Birth injury
Diabetes Prematurity Lack of oxygen
Toxemia of Poisoning
pregnancy Intracranial
Rh incompatibility hemorrhage or
blood clot
Classification
Physiologic Distribution
identify forms of motor identify location of
impairment musculoskeletal involvement

Spastic CP Spastic diplegia

Spastic
Dyskinetic CP quadriplegia

Spastic
Ataxic CP hemiplegia

Mixed CP
Spastic CP
The most common form of CP (70-
80%)
Due to injury to upper motor neurons
of pyrimidal tract
Often exhibit truncal hypotonia in 1st
year of life
Characterized by at least 2 of following:
-Abnormal movement pattern
-Increased tone
-Pathologic reflexes
Dyskinetic CP
10-15%
Result of injury to basal ganglia
Characterized by variable tonal abnormalities and involuntary
movement
Fewer seizures and >normal cognitive function
Ataxic CP
<5% of CP cases rare
Results from cerebellar injury
Abnormalities of voluntary movement and balance
Wide-based, unsteady gait, abnormal muscle tone
Mixed CP
10-15% of all cases
> 1 type of motor pattern is present
and when 1 pattern does not
clearly dominate another
Associated with > complications:
sensory deficits, seizures, cognitive-
perceptual impairments
Dystonic CP
Uncommon
Characterized by reduced activity and stiff movement
(hypokinesia) and hypotonia
Clinical Manifestations
Spectrum of developmental abnormalities
Mental retardation
Epilepsy
Motor handicap
Visual, hearing, speech, cognitive and behavioral
abnormalities
Diagnosis
History and diagnosis should
preclude progressive disorder of
CNS, degenerative disease,
metabolic disorders, spinal cord
tumor, muscular dystrophy
MRI scan of brain or spinal cord
Test of hearing and visual function
Genetic evaluation
Management
CP cannot be cured
Family support educate parents
Adjunctive therapy:
- Physiotherapy
- Occupational therapy
- Speech therapy
Surgery
Psychologist or psychiatrist
Drugs:
- Oral Dantrolene sodium, benzodiazepines, baclofen
treat spasticity
- Botulinum toxin
- Levodopa
What is the definition of cerebral palsy?
What is the aetiology of cerebral palsy?
Write 4 clinical manifestations

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