Cerebral Palsy

Question 1

What is cerebral palsy due to?

Answer 1

abnormalities of the developing fetal or infantile brain

Question 2

T/F Cerebral palsy is progressive

Answer 2

FALSE

Question 3

What are to abnormal characterizes found?

Answer 3

muscle tone
posture
movement

Question 4

What is associated with cerebral palsy?

Answer 4

intellectual disability, communication and behavioral difficulties, seizure disorders

Question 5

What gestational age is most likely to get CP?

Answer 5

< 28 wks

Question 6

What birth weight is likely to get CP?

Answer 6

<1500g (3 pounds)

Question 7

What is the most common association of etiology for CP?

Answer 7

Prematurity

Question 8

What injury can cerebral palsy?

Answer 8

perinatal hypoxia- ischemic injury

Question 9

What are acquired postnatal causes (infancy/childhood)?

Answer 9

stroke, trauma, near hypoxic events, sepsis, meningitis

Question 10

What is important when evaluating CP?

Answer 10

Detailed history and physcial

Question 11

What 3 goals of the detailed hx and physical?

Answer 11

• diagnostic features and classify the type
• child condition is static rather than progressive
• establish txt goals and priorities

Question 12

What age is CP clinically diagnosed?

Answer 12

2yr

Question 13

What dx test is required in CP?

Answer 13

MRI

Question 14

What are the key features in CP diagnosis?

Answer 14

permanent and nonprogessive
attributed to an insult occurring in fetal or infant brain
results in limitations in functional abilities/activities
accompanied by secondary musculoskeletal problems

Question 15

What findings are seen on brain MRI for CP?

Answer 15

hypoxic ischemic lesions
cortical malformations
basal ganglia lesions

Question 16

If seizures are present what diagnostic tool must be used?

Answer 16

electroencephalography

Question 17

If refractory seizures, movement disorders (ataxic-spastic gait, dyskinesias) are present, what diagnostic tool must be used?

Answer 17

lumbar puncture

Question 18

When should metabolic/genetic testing be performed in CP?

Answer 18

atypical symptoms
brain malformation seen on MRI
No etiology found

Question 19

Diagnosis of CP is based on….

Answer 19

exclusion, requires serial examinations

Question 20

What are 5 clues to a early diagnosis of CP?

Answer 20

Abnormal behavior
Abnormal tone
Abnormal posture
Persistence of primitive reflexes
Failure to achieve motor milestones

Question 21

What age would it be hard to determine specific classification?

Answer 21

prior to age 5

Question 22

What are the 3 types of CP?

Answer 22

Spastic
Dyskinetic
Ataxic

Question 23

What is the most common type of CP?

Answer 23

Spastic, spastic hemiplegia

Question 24

What type of CP has intellectual disability and involuntary movements

Answer 24

Dyskinetic syndrome

Question 25

What is the rarest type of CP?

Answer 25

Ataxic cerebral palsy

Question 26

What is the management of CP?

Answer 26

Multidisciplinary team

Question 27

What age does CP pt survive to?

Answer 27

adulthood (depends on degree of disability)

Question 28

What partially affects mortality rate in CP?

Answer 28

aggressiveness and quality of care

Question 29

What is the most common cause of death in CP?

Answer 29

Aspiration pneumonia