United Cerebral Palsy - Symptoms & Treatment (Pictures)
The most common cause of crippling in children, cerebral palsy comprises a group of neuromuscular disorders resulting from prenatal, perinatal, or postnatal central nervous system (CNS) damage. Although nonprogressive, these disorders may become more obvious as an affected infant grows older.
Cerebral palsy (say: seh- ree -brel pawl -zee) is a condition that affects thousands of babies and children each year. It is not contagious, which means you can't catch it from anyone who has it. The word cerebral means having to do with the brain . The word palsy means a weakness or problem in the way a person moves or positions his or her body.
Three major types of cerebral palsy occur-spastic, athetoid, and ataxic sometimes in mixed forms. Motor impairment may be minimal (sometimes apparent only during physical activities such as running) or severely disabling. Associated defects, such as seizures, speech disorders, and mental retardation, are common.
Conditions that result in cerebral anoxia, hemorrhage, or other CNS damage are probably responsible for cerebral palsy.
Infection or trauma during infancy
Cerebral palsy may follow kernicterus resulting from erythroblastosis fetalis, brain infection, head trauma, prolonged anoxia, brain tumor, cerebral circulatory anomalies causing blood vessel rupture, and systemic disease resulting in cerebral thrombosis or embolus.
Signs and symptoms
Each type of cerebral palsy typically produces a distinctive set of clinical features, although some children display a mixed form of the disease.
Spastic cerebral palsy
Most children with cerebral palsy have spastic cerebral palsy. This form of the condition causes muscles to stiffen, which makes movement difficult. It can affect both legs (spastic diplegia), or it can affect one side of the body (spastic hemiplegia). In the most severe cases, all four limbs and the trunk are affected (spastic quadriplegia).
Athetoid cerebral palsy
Affecting about 20% of patients, this form causes involuntary movementsgrimacing, wormlike writhing, dystonia, and sharp jerks that impair voluntary movement. Usually, these involuntary movements affect the arms more severely than the legs; involuntary facial movements may make speech difficult. These athetoid movements become more severe during stress, decrease with relaxation, and disappear entirely during sleep.
Ataxic cerebral palsy
Roughly 10% of patients have this form of the disease. Its characteristics include disturbed balance, incoordination (especially of the arms), hypoactive reflexes, nystagmus, muscle weakness, tremor, lack ofleg movement during infancy, and a wide gait as the child begins to walk. Ataxia makes sudden or fine movements almost impossible.
Mixed CP involves two or more types of cerebral palsy. While any mix of types and subtypes can occur, the most common are athetodic-spastic-diplegic and athetoid-spastic-hemiplegic; the least common is athetoid-ataxic. It is possible to have a mix of all three (spastic-athetoid-ataxic).
An early diagnosis is essential for effective treatment and requires careful clinical observation during infancy and precise neurologic assessment. Suspect cerebral palsy whenever an infant:
Infants at particular risk include those with low birth weight, low Apgar scores at 5 minutes, seizures, and metabolic disturbances. However, all infants should have a screening test for cerebral palsy as a regular part oftheir 6-month checkup.
TreatmentThere is no standard therapy that works for all patients. Drugs can be used to control seizures and muscle spasms, special braces can compensate for muscle imbalance. Surgery, mechanical aids to help overcome impairments, counseling for emotional and psychological needs, and physical, occupational, speech, and behavioral therapy may be employed. Home care is often possible. Treatment usually includes:
Children with milder forms of cerebral palsy should attend regular school;severely afflicted children need special education classes.
Most cases of cerebral palsy can't be prevented, despite the best efforts of parents and doctors. But, if you're pregnant, you can take these steps to keep healthy to minimize the possibility of pregnancy complications:
You can help prevent cerebral palsy before and during your pregnancy by adopting and maintaining healthy habits.
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