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A case of cerebral palsy. Prof G R Mohan Visiting Professor for Practice of medicine PG Vinayaka Mission’s Homoeopathic medical college & hospital, Salem,TN CCH PG Guide. Homeopathy 4 Everyone – January, 2007.

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a case of cerebral palsy

A case of cerebral palsy

Prof G R Mohan

Visiting Professor for Practice of medicine PG

Vinayaka Mission’s Homoeopathic medical college & hospital, Salem,TN

CCH PG Guide

Homeopathy 4 Everyone – January, 2007

slide2

“Cerebral palsy is an umbrella-like term used to describe a group of chronic disorders impairing control of movement that appear in the first few years of life and generally do not worsen over time”

magnitude of problem
Magnitude of problem
  • According to The United Cerebral Palsy Association that more than 500,000Americans are affected. In India, cerebral palsy is 2per 100 live births (Gai)
causes
causes
  • Prematurity,
  • In utero disorders,
  • Neonatal jaundice,
  • Birth trauma, and
  • Perinatal asphyxia
slide6

clinical presentation

Slow development of milestones

such as head holding, learning to roll over, sit, crawl, standing and walking

mode of presentation in a case of cerebral palsy
Mode of presentation in a case of cerebral palsy
  • Mental retardation-
  • Delayed developmental
  • disorders-
  • Paralysis -
  • Speech delay-
  • Drooling-
  • Hyperactive-
  • Movement disorder-
diagnosis
Diagnosis
  • cerebral palsy can rarely be diagnosed with certainty during early infancy, and specific syndromes often cannot be characterized until age 2 yr.
homoeopathic concept
Homoeopathic concept

The miasmatic predominance in both parents accounts for this genetic defect. The miasmatic influence run in the families of both parents.

The Syphilitic miasm is the main cause for the development of Cerebral Palsy. The syphilitic miasm disturb the metabolism of the higher centers to produce deficient growth from brain to bone and blood.

kent s view

Kent's view

“It is impossible to get

the symptoms and

wants of a child

especially in an infant expect by interpreting

its Gestures”.

bogers view

Bogers view

“Objective phenomena being the least deceptive, by their great utility have contributed much to the brilliant success of Homoeopathy, particularly in the diseases of children”

slide13
Baby ‘A’aged 5y.8m, was brought to my clinic on 16/10/2k1 with following presentations

Child is calm, shy natured, anemic, thin built, under nutritious, can speak few words, not clear, no toilet control, dependent , No interaction with peer group

Timidity, lack of attention, Fear, sitting difficulty, Standing difficult , Walking impossible,. Squint, increased movement Of eye balls Can recognizes parents few family members, sensitiveness to dampness

slide14
Maternal / History :

Delivery: hospital normal delivery, full term, low birth weight ,

B /H: cry delayed

(5M),

F/H: Consanguinity

Mental age:1.8y---Cronological age :5.2Y

I Q: 34%

DIA: S D D M D (CP)

T/ H: modern medicine :3Y

Physio Therapy: from 7th month,

Vaccination H / o

slide15
Weight:11kgs, height:3.2”

spasticity of limbs, tone increased ,gait: imbalance ,

slide16
Calc-p was selected on the bases of above symptoms as child was not in position to express her symptoms, only on objective symptoms were considered. (kent,boericke,lotus)
slide17
17/10/2k1 cal pos 200, 3d.were given.

21/11/01 not much change, cal pos 200, 3d.were repted

3/2/02 not able to stand with support ,able to sit for few minutes , concentration :ok

poor memory ,not able walk with support , speech no change,

Cal pos 1M, 1d.was given.

Sl for 1month,

slide18
12/3/02 : standing with support for 5m ,able to sit for half an hour , concentration :ok

,not able walk with support , speech no change

Tuberculinum 1m was given, sl for 2 months

1/07/02: walking with support, able to talk few words,

fear of falling timidity, C P10m 1d, 45 days SL was given.

3/12/02 speech: satisfactory, clarity was less, grasping : better, getting up with support,

walking with support,

C P10m 3d were given, sl for 2months was given.

slide19
Child was brought after 5months as they 600km away from Hyderabad,

12/06/03 weight:16kgs, standing for 30 minutes without support, sitting for hours ,talking with clarity, with breaks, Tuberculinum 1m was given along with SL for 60 days .

slide20
11/09/03 able to stand without

support( visual)

IMP90%

reference
Reference:
  • 1) Behrman, Klieg man, Jenson, Nelson, text book of pediatrics, 16ted,

Harcourt Asia ple Ltd .

  • 2) Ghai.O.P Essential Pediatrics, Inter print.
  • 3) Foubister .D. M, Homeopathic prescribing in childhood, vol lxvi no 1, 1951, Jul, the Homoeopathic recorder.
  • 4) Tirthankar Data, principles of Pediatrics, new central book agency (p) ltd, Calcutta- 700009-1998
  • 5) George E Dienst, the child, the Homoeopathic herald by Bose N C. Vol: 1941, Aug Vol no 6
  • 6) Prashant shah, a spastic child, Vol: 1999 Apr /Jun Vol 12 no 2
  • 7) Horst Hauptman, the significance of signs, 1992 Sept / Dec, Vol 5, no3
  • 8) Subrata Kumar Banerjea, miasmatic diagnosis, B.Jain publishers (p) ltd, New Delhi.
  • 9) Viswanath.J & Desai.A.B, Achars text book of Pediatrics,3rd edition—orient long
  • 10) frontiers in Pediatric Neurology , Vol V, Oct -2001