cerebral palsy
Download
Skip this Video
Download Presentation
CEREBRAL PALSY

Loading in 2 Seconds...

play fullscreen
1 / 6

CEREBRAL PALSY - PowerPoint PPT Presentation


  • 115 Views
  • Uploaded on

CEREBRAL PALSY. Kate Morton. CEREBRAL PALSY. Disorder of movement and posture Most common cause of motor impairment in children Due to a non-progressive lesion of the motor pathways in the developing brain Clinical manifestations can change as the cerebrum matures

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about ' CEREBRAL PALSY' - heinz


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
cerebral palsy

CEREBRAL PALSY

Kate Morton

cerebral palsy1
CEREBRAL PALSY
  • Disorder of movement and posture
      • Most common cause of motor impairment in children
  • Due to a non-progressive lesion of the motor pathways in the developing brain
  • Clinical manifestations can change as the cerebrum matures
  • Most common cause of motor impairment in children
  • Associated conditions
      • Learning impairment (60%)
      • Visual impairment (20%)
      • Squints (30%)
      • Hearing loss (20%)
      • Speech and language disorders
      • Behaviour disorders
      • Epilepsy (40%)
causes of cp
ANTENATAL (80%)

Cerebral dysgenesis

Cerebral malformation

Congenital infection

INTRAPARTUM (10%)

Birth asphyxia/trauma

POSTNATAL (10%)

Intraventricular haemorrhage/ ischaemia

Meningitis/ encephalitis/ encephalopathy

Head trauma/ NAI

Symptomatic hypoglycaemia

Hydrocephalus

Hyperbilirubinaemia

CAUSES OF CP
presentation
PRESENTATION
  • Abnormal tone and posturing
  • Feeding difficulties
  • Delayed motor milestones
  • Abnormal gait once walking
  • Developmental delay – language/ social skills
  • Other signs:
      • Hand preference under 12m
      • Persistence of primitive reflexes (should disappear by 12m)
clinical types
CLINICAL TYPES
  • Spastic (70%) - damage to UMN pathway
      • Increased limb tone
      • Brisk tendon reflexes, extensor plantar response
      • Different distributions possible – hemiplegia, diplegia, quadriplegia
  • Ataxic hypotonic (10%) – usually genetic cause
      • Usually symmetrical
      • Early hypotonia, poor balance, delayed motor development
      • Followed by incoordinate movements, intention tremor
  • Dyskinetic (10%) – damage to basal ganglia or extrapyramidal pathway
      • Constant involuntary movements
      • Poor postural control
      • Floppiness and delayed motor development
      • Intellect relatively intact
management
MANAGEMENT
  • Importance of child health surveillance
  • MDT approach
  • Give parents as much information as possible
  • Medical treatments for muscle spasm– baclofen, dantrolene, diazepam
  • Surgical – scoliosis, hip reduction, tendon lengthening, osteotomy
  • Others – mobility aids; botulinus toxin; heat, cold and vibration for spasticity; splinting
  • Management of associated conditions eg epilepsy, learning disability, dental problems, aspiration pneumonia
ad