Cerebral Palsy Flashcards
What is cerebral palsy?
A disorder of movement and posture due to a non-progressive lesion of the motor pathways in the developing brain
What causes cerebral palsy?
Antenatal: Rubella, CMV, Toxoplasmosis, Cerebral malformation
Intrapartum: Birth trauma
Postnatal: Meningitis, head trauma, intraventricular haemorrhage
What are childhood manifestations of CP?
- Abnormal tone in early infancy
- Delayed motor milestones
- Abnormal gait
- Feeding difficulty
How is CP classified?
Most common: Spastic - subtypes include hemiplegia, diplegia, quadriplegia: Increased tone due to damage to UMN
Dyskinetic: Caused by damage of basal ganglia and substantia nigra: slow, involuntary movements of fingers, drooling
Ataxic: Caused by damage to the cerebellum with cerebellar signs
Mixed
How is CP managed?
- MDT approach
- Spasticity: Diazepam, Baclofen, Botox
- Anticonvulsants/Analgesia as required