Cerebral Palsy Flashcards
1
Q
Causes
Assoc with perinatal hypoxic ischaemic injury
Maternal infec eg CMV, rubella, toxop, VZV
Stroke
Trauma
A
WM damage- periventric leukomalacia Basal ganglia or deep grey matter damage Congenital malformation Focal infarcts Neon encephalopathy
2
Q
Acquired CP causes (after neon)
A
Meningitis Other infec Head injury Choking/drown Hypog Stroke
3
Q
Ix
A
MRI head Cranial USS CT head EEG, EMG, bloods Follow up high risk for up to 2yr GMA movement assessment for 0-3mnth
4
Q
px
Usually notice 2-3yr
A
MOVEM AND POSTURE Abn movem- fidgety, jerky, asymm, paucity, tremors Abn tone- hypotonia, spasticity, dystonia (fluc) Abn motor dev- eg late head conrol, roll, crawl etc Weak limbs Feeding and swallow diffic, drooling Motor dev delay (sit by 8/12, walk by 18/12, hand pref bef 1yr, persis toe walk) Constipation Speech and lang probs Epil Sleep diffic GORD Scoliosis Hip disloc Urin incontin LD Reduced vision or squint Hear loss
5
Q
Multidiscip mx
A
Specialist nurse Physio and OT Speech and lang Dietician Psychology Social care and educ inv
6
Q
drug mx
A
musc relax eg baclofen, diazepam, botox Melatonin for sleep AEDs for epil Laxatives Analgesia Antichol or botox for drooling Surgery for- contracture rel, disloc hip, scoliosis, urin incontin, selec dorsal rhizotomy
7
Q
RFs
A
Preterm Low birth weight Multiple preg Mother 35 or older Mother low or high BP
8
Q
Types
A
Spastic- pyramidal, WM Dyskinetic- extrapyramidal, BG and thalamus, assoc with high bili Ataxic Mixed Also hemi, mono or diplegia
