Tourettes / Cerebral Palsy

Question 1

What disease is described as a non-progressive disease of the brain during the pre-natal period that results in motor and postural dysfunction

Answer 1

Cerebral Palsy

Question 2

What is the most common symptoms in CP, which is seen in 75% of patient?

What are additional symptoms?

Answer 2

Spasticity

Lack of coordination
Fine motor difficulties
Ataxia
Hypotonia

Question 3

Whould a CP patient be more likely to be hyperreflexic or hyporeflexic?

Answer 3

Hyperreflexic

Question 4

How is CP diagnosed?

Answer 4

Clinically

Question 5

CP can not be characterized until what age?

Answer 5

2 y.o.

Question 6

What is the most common type of CP?

What are classic findings of this?

Answer 6

Spastic (70%) - Hypertonia, Hyperreflexia, Clonus

Question 7

What findings are consistent with Athetoid/Dyskinetic CP?

Answer 7

Hypotonia, Dystonia, chorea

Question 8

What findings are consistent with Ataxic CP?

Answer 8

Movment and speech abnormalities

Question 9

How is CP treated?

Answer 9

Supportive:
Minimize Contractures
Braces
Therapy

Early Referral

Question 10

Injections of what could be beneficial to patients with cerebral palsy?

Answer 10

BoTox

Question 11

Is there a cure for cerebral palsy?

Answer 11

No

Question 12

T/F: Tourettes is more common in females than males

Answer 12

False

It is more common in males

Question 13

What neural pathway is effected in Tourettes?

Answer 13

Frontal-Subcorticol

Question 14

What are two classic manifestations of Tourettes?

Answer 14

Motor Tics (Sniffling, Blinking) 
Phonic Tics (Grunts, Barks, Hisses)

Question 15

T/F: Nail biting and hair pulling (self-mutilating habits) are often seen in Tourettes

Answer 15

True

Question 16

How is Tourettes diagnosed?

Answer 16

Clinically

Motor and Phonic tics for longer than a year and under 18 years old

Question 17

How is mild Tourette’s treated?

Answer 17

Mild: Behavioral Therapy +/- Lorazepam