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Y4R1 - Pediatrics I 👶 > L1: Cerebral Palsy > Flashcards

L1: Cerebral Palsy Flashcards

1
Q

Def of Cerebral Palsy

A
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2
Q

Incidence of Cerebral Palsy

A
  • It is the most common motor disorder in children (2-2.5/1000).
  • Most common physical disability of childhood
  • Incidence has increased since the 60’s, may be D2 improved survival of VLBW.
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3
Q
  • most common motor disorder in children
  • Most common physical disability of childhood
A

Cerebral Palsy

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4
Q

Etiology of Cerebral Palsy

A
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5
Q

Etiology of Cerebral Palsy

  • Pre-natal
A
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6
Q

Etiology of Cerebral Palsy

  • Peri-natal
A
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7
Q

Etiology of Cerebral Palsy

  • post-natal
A
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8
Q

Classification of Cerebral Palsy

A
  • Physiological (Clinical)
  • Topographic
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9
Q

Physiological (Clinical) Classification of Cerebral Palsy

A
  • Spastic
  • Dyskinetic / Athetoid
  • Ataxic
  • Atonic “Floppy”
  • Mixed “any combination”
  • Unclassified
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10
Q

Incidence of Spastic Cerebral Palsy

A

Commonest (80%)

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11
Q

Site of Damage in Spastic Cerebral Palsy

A

Cortical motor nuclei “Pyramidal”

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12
Q

CP of Spastic Cerebral Palsy

A
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13
Q

Prognosis of Spastic Cerebral Palsy

A

Best

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14
Q

Incidence of Dyskinetic/Athetoid Cerebral Palsy

A

10 %

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15
Q

Site of Damage in Dyskinetic/Athetoid Cerebral Palsy

A
  • Extra pyramidal motor nuclei “Basal ganglia “

most common cause .› kernicterus

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16
Q

CP of Dyskinetic/Athetoid Cerebral Palsy

A
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17
Q

Incidence of Ataxic Cerebral Palsy

A

5-10%

18
Q

Site of Damage in Ataxic Cerebral Palsy

A

Cerebellar motor nuclei

19
Q

CP of Ataxic Cerebral Palsy

A
20
Q

Course of Atonic (Floppy) Cerebral Palsy

A
  • Maybe transient then changed into spastic after myelination
21
Q

CP of Atonic (Floppy) Cerebral Palsy

A
22
Q

Prognosis of Atonic (Floppy) Cerebral Palsy

A

Worst

23
Q

Topographic Classification of Cerebral Palsy

A
24
Q

Gross Motor Function Classification System GMFCS

A
25
Q

Morbidities Associated with Children with CP

A
26
Q

Dx of Cerebral Palsy

A
27
Q

Managment of Cerebral Palsy

A
28
Q

Managment of Cerebral Palsy

  • Aim
A

Maximize function and minimize the development of secondary problems.

29
Q

Physiotherapy in Cerebral Palsy

A
30
Q

Physiotherapy in Cerebral Palsy

  • Methods
A
31
Q

Physiotherapy in Cerebral Palsy

  • Goals
A
32
Q

Orthroses in Cerebral Palsy

A
33
Q

Orthroses in Cerebral Palsy

  • Goals of Brace Prescription
A
34
Q

Muscle Relaxant in Cerebral Palsy

A
35
Q

Muscle Relaxant in Cerebral Palsy

  • Oral
A

Baclofen - Diazepam - Clonazepam.

36
Q

Muscle Relaxant in Cerebral Palsy

  • Local
A

Botulism toxin type A —–› block acetylcholine release.

37
Q

Muscle Relaxant in Cerebral Palsy

  • intrathecal
A

Baclofen pump

38
Q

Surgery in Cerebral Palsy

A
39
Q

Surgery in Cerebral Palsy

  • Neurosurgery
A

Selective dorsal rhizotomy

40
Q

Surgery in Cerebral Palsy

  • Orthopedic Surgery
A
  • Tendon-lengthening procedures (heel-cord).
  • Release of spastic wrist flexor muscles.
  • Correction of hip-adductor muscle spasticity or contracture.
41
Q

Rehabilitation in Cerebral Palsy

A
  • Speech & language therapy.
  • Occupational therapy.
  • TTT of 2y conditions (Seizures - bowel and bladder problems).

Y4R1 - Pediatrics I 👶 (28 decks)

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