CP/spina bifida

Question 1

Spastic hemiplegia?

Answer 1

Arms more than legs

Question 2

Spastic diplegia?

Answer 2

Bilateral spasticity of legs >arms

Question 3

Spastic quadriplegia?

Answer 3

All 4 limbs affected

Question 4

Athetoid?

Answer 4

Hypotonia with poor head control (less common, usu a/w birth asphyxia)

Question 5

Meningocele contains?

Answer 5

Meninges + CSF

Nerve damage is minimal so disability is minimal

Question 6

Myelomeningocele contains?

Answer 6

Contains CSF + nerve + part of spinal cord

Spinal cord damage always occurs resulting in paralysis or sensory loss

Question 7

Define cerebral palsy

Answer 7

Disorder of tone, posture or movement which is due to a static lesion affecting the developing nervous system

Question 8

Spastic CP?

Answer 8

Characterized by fixed increase in muscular tone

Types; hemiplegia, diplegia, quadriplegia

Question 9

Define the word Athetoid?

Answer 9

Writhing involuntary pronation and flexion of distal extremity

Question 10

Most common cause of spastic diplegia?

Answer 10

Peri-ventricular leukomalacia in preterm infants

Question 11

List seven causes of CP.

Answer 11

Cerebral malformations
Metabolic causes
Genetic causes
Infection (intra-uterine + extra-uterine)
Stroke
Hypoxic-ischaemic injury
Trauma

Question 12

What is the most common type of CP?

Answer 12

Spastic (accounts for 2/3 of cases)

Question 13

List the types of CP (4)

Answer 13

Spastic
Dyskinetic
Ataxic
Mixed

Question 14

How do Apgar scores & CP correlate?

Answer 14

Poorly

49000 infants reviewed:
75% CP cases had 5min Apgar 7-10
Apgar score of 0-3 at 20mins - CP rates of 60%