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Cerbral Palsy

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Some points concerning this disorder

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Cerbral Palsy

  1. 1. CEREBRAL PALSY <ul><li>definition </li></ul><ul><li>causes </li></ul><ul><li>POSTER criteria </li></ul><ul><li>types </li></ul><ul><li>problems, commonly associated </li></ul><ul><li>features, suggesting progressive CNS disorder </li></ul>
  2. 2. definition <ul><li>heterogenous group of static motor and posture disorders of cerebral/cerebellar origin </li></ul><ul><li>frequently accompanied by epilepsy , sensory impairement , and mental retardation </li></ul><ul><li>definition does not imply etiology </li></ul><ul><li>nonprogressive , clinical manifestation changes because of brain development </li></ul>
  3. 3. causes <ul><li>cerebral malformation </li></ul><ul><li>infection </li></ul><ul><li>perinatal stroke </li></ul><ul><li>multiple pregnancy </li></ul><ul><li>hypoxic-ischemic encephalopathy </li></ul><ul><li>trauma </li></ul>
  4. 4. criteria <ul><li>P osturing/abnormal movements </li></ul><ul><li>O ropharyngeal problems (e.g. swallowing) </li></ul><ul><li>S trabismus </li></ul><ul><li>T one (hyper-, hypotonia) </li></ul><ul><li>E volutional maldevelopment (e.g. primitive reflexes persist or parachute reflex fail to dev.) </li></ul><ul><li>R eflexes (e.g. increased deep tendon) </li></ul><ul><li>abnormalities 4/6 strongly point to CP </li></ul>
  5. 5. types <ul><li>pyramial or spastic CP (damage up. mot. neuron) </li></ul><ul><li>extrapyramidal or nonspastic/ dyskinetic CP (e.g. choreoathetosis) </li></ul><ul><li>hypotonic CP </li></ul><ul><li>ataxic CP (cerebellar signs) </li></ul><ul><li>mixed CP </li></ul>
  6. 6. problems associated <ul><li>mental retardation, learning disabilities </li></ul><ul><li>ophthalmologic abnormalities, hearing deficits </li></ul><ul><li>seizures </li></ul><ul><li>failure to thrive, feeding problems, gastroesophagela reflux </li></ul><ul><li>behavioral and emotional problems </li></ul><ul><li>communication disorders </li></ul>
  7. 7. suggest. progressive CNS disorder <ul><li>increasing head circumference </li></ul><ul><li>eye anomalies </li></ul><ul><li>skin/sensory abnormalities </li></ul><ul><li>hepato-/splenomegaly </li></ul><ul><li>decreased/absent deep tendon reflexes </li></ul><ul><li>developmental regression/failure to progress </li></ul><ul><li>look for other diseases, rather than CP </li></ul>
  8. 8. cave <ul><li>no correlation between low APGAR and CP </li></ul><ul><li>only 3%-21% of CP related to birth asphyxia </li></ul>
  9. 9. sources <ul><li>pediatric secrets </li></ul><ul><li>fourth edition, elsevier mosby </li></ul><ul><li>http://www.dinf.ne.jp/doc/english/index_e.html </li></ul><ul><li>v.0.2 by crak </li></ul>

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