CP

Question 1

Definition

Answer 1

Group of non-progressive motor and posture Impairment due to anomalies or lesions to the developing brain before or after the birth

Question 2

Causes

Answer 2

Pre-natal (most common) : Antenatal infections, congenital malformations, fetal asphyxia

Natal : birth asphyxia, birth trauma

Post-natal : Meningitis, head trauma, hyperbilirubnemia, hypoglycemia

Question 3

Types

Answer 3

• Spastic (most common) : hemiplegia, diplegia, quadriplegia, monoplegia, paraplegia
• Dyskinetic
• Ataxic
• Dystonic
• Choreoathetotic
• Mixed

Question 4

Spastic CP

Answer 4

Pyramidal tract lesion (UMNL) signs.
Pseudobulbar palsy : feeding and speech disorders.
Spastic diplegia (most common subtype) associated with prematurity due to periventricular leucomalacia which can be showed by MRI .
Spastic hemiplegia is associated with neonatal stroke.

Question 5

Dyskinetic CP

Answer 5

Extrapyramidal palsy.
Chorea, athetosis, dystonia.
Due to kernictrus.

Question 6

Ataxic CP

Answer 6

Due to cerbellar injury.
Hypotonia and hyporeflexia.
Cerbellar ataxic : incoordination of voluntary movements, nystagmus, staccato speech, intention tremors.

Question 7

Atonic CP

Answer 7

Floppy infant (profound hypotonia).
Normal reflexes