cerebral palsy Flashcards

1
Q

what

A

permanent neurological problems resulting from damage to brain around time of birth

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2
Q

is it progressive

A

no

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3
Q

causes

A

antenatal

  • maternal infection
  • trauma during pregnancy

perinatal

  • birth asphyxia
  • preterm

postnatal

  • meningitis
  • severe jaundice
  • head injury
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4
Q

types of CP: spastic

A

increased tone

damage to UMN

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5
Q

types of CP: dykinetic

A

problems controlling muscle tone
athetoid movements
oro-motor problems

damage to basal ganglia

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6
Q

types of CP: ataxic

A

problems with coordinated movement

damage to cerebellum

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7
Q

monoplegia

A

one limb affected

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8
Q

hemiplegia

A

one side of body affected

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9
Q

diplegia

A

4 limbs affected but mostly the legs

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10
Q

quadroplegia

A

4 limbs affected severly

often w seizures, speech disturbance and other impartments

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11
Q

signs + symptoms

A
failure to meet milestones
inc tone 
hand preference <18mo 
problems with coordination, speech or walking 
feeding/swallowing problems 
learning difficulties
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12
Q

what does it indicate: hemiplegic/diplegic gait

A

UMN lesion

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13
Q

what does it indicate: broad based/ataxic gate

A

cerebellar lesion

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14
Q

what does it indicate: high stepping gait

A

foot drop or LMN lesion

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15
Q

what does it indicate: waddling gait

A

pelvic muscle weakness due to myopathy

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16
Q

what does it indicate: antalgic gait

A

indicates localised pain

17
Q

complications and assoc conditions

A
Learding disability 
epilepsy 
kyphoscoliosis 
muscle contractures
hearing + visual imparment
GORD
18
Q

Mx

A

MDT approach
focus on achieving fulfilling and independant life

phyiso 
OT 
SALT 
dieticians
orthopaedic surgeions 
paediatricians
social workers
19
Q

paediatricians - medications they may use

A

muscle relaxants e.g. baclofen
anti-epileptic drugs
glycopyrronium bromide for excessive drooling