Cerebral Palsy Flashcards

1
Q

What is cerebral palsy?

A

A group of disorders that affect a person’s ability to move and maintain balance and posture

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2
Q

What are antenatal causes of cerebral palsy?

A

Nervous system structural malformations
Congenital and intrauterine infections
Maternal and obstetric complications e.g.g HTN/DM
Multiparity

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3
Q

What are perinatal causes of cerebral palsy?

A

Complicated labour and delivery
Birth asphyxia
Birth trauma
Prematurity
Low birth weight

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4
Q

What are postnatal causes of cerebral palsy?

A

Meningitis/encephalitis
Hypoxia (stroke etc)
Traumatic brain injury
Toxins

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5
Q

What are the types of cerebral palsy?

A

Spastic
Athetoid
Ataxic
Hypotonic
Mixed

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6
Q

What is the most common type of cerebral palsy?

A

Spastic - patients will be hypertonic and have jerky movements

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7
Q

What is monoplegia cerebral palsy?

A

Only one limb affected

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8
Q

What is diplegia cerebral palsy?

A

Two limbs affected - commonly the legs

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9
Q

What is hemiplegia cerebral palsy?

A

One side of the body affected
Upper limbs often affected to a greater degree - rigidly flexed elbow or wrist

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10
Q

What is triplegia cerebral palsy?

A

Three limbs affected

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11
Q

What is quadriplegia cerebral palsy?

A

All four limbs affected, legs often being worse than arms

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12
Q

What is the classification tool for cerebral palsy?

A

GMFCS

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13
Q

What are clinical presentations for infants with cerebral palsy?

A

Inability to lift head
Overextending back and neck when being picked up
Stiffness in joints and muscles
Excessive drooling

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14
Q

What are clinical presentations for toddlers with cerebral palsy?

A

Abnormal posture
Delays in gross and fine motor skills
Uncontrolled muscle movement
Delays in speech
Hearing problems

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15
Q

What are clinical presentations for school age children with cerebral palsy?

A

Incontinence
Speech disorders
Contractures
Vision problems e.g. strabismus (cross eye)
Ataxia
Spasticity

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15
Q

What are clinical presentations for pre-schoolers with cerebral palsy?

A

Limping/abnormal gait
Stiffness and tightness in affected limbs
Difficulty in fine motor skills e.g. handwriting

15
Q

What is the main investigation organised for cerebral palsy diagnosis?

A

Head MRI

16
Q

What referrals may be required?

A

Audiology
Ophthalmology
Physiotherapist
Orthotics