Lecture 5 Management of Neurologic Conditions Flashcards
T or F: CP means that intelligence will be impaired
F
What is the most common motor disability in childhood
CP
When can CP develop?
Prenatal, birth, or post-natal
In Spastic CP, the ____ is affected
Pyramidal system
In athetoid CP, the ____ system is affected
extrapyramidal
In mixed CP, the _____ system is affected
Extrapyramidal and pyramidal
What is included in the new CHEAP torches pneumonic
Chicken pox, hepatitis, enterovirus, aids, parvovirus
Prenatal risk factors for CP include; maternal high BP, maternal seizures, thyroid disorder, bleeding ______
Bleeding in the 3rd trimester
Prenatal risk for CP include; multiple gestation, hypoxia, abdominal trauma, premature birth of_______
Before 32 weeks or under 2500 grams
More CP risk factors
_____ incompatibility
Placenta abruption
_______ delivery
Blood incompatibility- mothers blood is different than the fetus
Instrumented delivery
Post natal risk factors for CP include:
Seizures within _____ after birth, meningitis, sepsis, hyperbilirubinemia
48 hours
What is PVL
Periventricular leukomalacia
Bilateral white matter necrosis
Correlated with CP
What grades of interventricular hemorrhage correlate with neuro developmental sequelae
Grade 3 and 4
(Grades range from 1-4)
Most spastic CP is: Hemi, di, or quad
Diplegic at 35-45%
23-30% quad
10-15% hemi
Child walks without limitation, what GMFCS
Level 1
Child walks with limitation, what GMCFS
2
Child walks using hand held device, what GMFCS
3
Child uses self mobility w limitations (pushes wheelchair or uses power chair)
What GMFCS
Level 4
Child is pushed by caregiver in manual wheelchair
What GMFCS
5
Is CP progressive?
The original neurological insult is not
But the MSK problems are
What is a boney lever arm dysfunction
Abnormal muscle forces cause change to the boney lever arms.
Example; child’s muscles don’t grow at the same rate as their bones because their activity level is limited
Autism is generally evident before what age
3 years old
Autism SPECTRUM, mostly affects what
Verbal and nonverbal communication
What is Asperger disorder
High functioning autism where child is intelligent but struggles socially
What is the cause of sensory integration disorder
Neurological immaturity
An over responsiveness or under responsiveness to stimulation
Sensory modulation dysfunction
The behavioral manifestation to sensory processing
Sensory integration
The reception, modulation, integration, and organization of sensory stimuli
Sensory processing
What are the 6 sensory systems
Proprioception
Vestib
Tactile
Vision
Auditory
Taste and smell
What is the mildest form of spina bifida
Spina bifida occulta
Protrusion of the meninges and CSF
Meningocele
Extrusion of neural elements
Myelomeningocele
There is a relationship between spina bifida and inadequate _____
Vitamins and folic acid
The deficits in myelomeningocele depend on _____
Spinal level
Sudden change in foot posture is a sign of
Tethered cord syndrome
Repeat UTIs is a sign of
Tethered cord syndrome
Shunt malfunction warning signs
Headaches
Vomiting
Lethargy
Irritability
Swelling or redness along shunt tract
Decreased school performance
Periods of confusion
Seizures
Note: you may only see one of these
Neurofibromatoses is a _____ disorder that causes tumors to grow in the brain
Genetic
