CEREBRAL PALSY
Posted by on January 14, 2010
It’s a non progressive neuromuscular disorder inflicting mild to severe disabilities throughout life.This condition is manifested as a group of persisting qualitative motor disorders which appear in young kids due to wreck to the brain during delivery or due to some pathological conditions in the intrauterine life.The neuroligical issues are multiple however non progressive in nature.Approximately two per one hundred live birth is having this problem.This disease is having no hereditary tendency.
Causes of cerebral palsy:
1) Injury to the brain throughout delivery.
a pair of) As a complication of forceps delivery.
three) Lack of oxygen provide to the baby during delivery.
four) Infections throughout delivery.
Signs and symptoms of cerebral palsy:–
The signs and symptoms could not be similar in all babies affected.Relying upon the injury to the brain there could be mild to severe lesions.
Gentle cases:- twenty% kids can have mild disability.
Moderate cases:-fifty% cases are having moderate disability.The affected children require self help for assisting their impaired ambulation capacity.
Severe cases:-Concerning 30% of the affected children are totally incapacited and bedridden and they allways need care from others.
Abnormal findings in cerebral palsy:-
1,Abnormal neonatal reflexes.
two,Stiffness of all muscles with awkward motion.
3,Extention of extremities on vertical suspension of the infant.
4,Scissoring of the lower limbs thanks to spasm of the adductor muscles of the thigh.
five,In severe cases the back bend backwards like and arch.
half-dozen,May have total or partial paralysis.
seven,Arrest of neurological and behavioral developement.
eight,Swallowing could be difficult in some cases.
nine,Drooling of saliva.
ten,Delicate to severe mental retardations.
eleven,Abnormal movements are seen in some cases.
twelve,Tremors with typical movements.
thirteen,If cerebellum is affected there will be loss of muscle tone with difficulty in walking.
fourteen,Complete or partial loss of hearing.
15,Speech might be affected.
sixteen,Squint and alternative visual problems could be associated.
17,Convulsions might be seen in some children.
Cerebral palsy is diagnosed by detailed clinical examination and by eliminating alternative similar diseases like brain tumour, progressive atrophy ect.All investigations like CT scan,MRI and routine investigations are required to ruleout alternative diseases.
Management of carebral palsy:–
General management:
This includes correct nutrition and personal care. Symptomatic medicines are required to cut back convulsions and muscle stiffness. Diazepam will cut back spasticity and athetosis.
Dantrolene sodium helps to relax skeletal muscles.
Physiotherapy:
Here massage,exercise, hydrotherapy and ect are needed.Special coaching is given to train walking,swallowing and talking.The affected children are also trained to hold articles for routine activities.
Rehabilitation:
Moral and social support ought to be given to these children.They must be send to special schools where special training will be given by trained staff.Mentally retarded youngsters need special training.Relying up on the disabitity special instruments and machines are given for locomotion and to assist their daytoday activities.
Occupational therapy:
This is given by occupational therapists.They train the disabled folks to try and do some suitable works therefore that these people will have their own income.
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