austin journal of cerebrovascular disease & stroke
TRANSCRIPT
HISTORY“CEREBRAL PALSY” was first identified
by a English Surgeon “WILLIAM LITTLE”
in 1860. It is also called as Little’s Disease
DEFINITIONCerebral Palsy is considered as a
neurological disorder caused by a non-
progressive brain injury or malformation
that occurs by abnormal development or
damage to motor control centers of
the brain.
ETIOLOGY
Prenatal
Perinatal
Postnatal/childhood
1. PRENATAL
Maternal diseases
Obstetrical complication
Abuse of drugs
Cerebral malformation
Maternal diseases
Prolonged rupture of
membranes
Gestational diseases
Premature delivery
Preeclampsia
Infections
Severe protienuria
Fetal heart rate
depression
Long labor
Asphyxia
2. PERINATALPrematurity and associated problems
Low birth weight
Meconium aspiration
Cerebral trauma
Severe hyperglycemia
Blood incompatibilities
Hyperbilirubinemia
Meconium aspiration
Complicated delivery
3. POSTNATALBrain injury
Stroke
Meningitis or encephalitis
Traumatic brain injury
Seizures
Vascular malformations
Cerebral anoxia
Sickle cell anemia
Near drowning
Toxins
CLASSIFICATION OF
CPCEREBRAL PALSY is classified
into two types as below:
Depending upon Topographical
Distribution
Depending on tone or movement
patterns (physiologic)
DEPENDING UPON
TOPOGRAPHICAL DISTRIBUTION
Monoplegia
Diplegia
Paraplegia
Quadriplegia
Triplegic
Hemiplegic
Tetraplegic/Double hemiplegic
DEPENDING ON TONE OR
MOVEMENT PATTERNS
(PHYSIOLOGIC)
Spastic CP
Athetoid/Dyskinetic CP
Ataxic CP
Flaccid/Hypotonic CP
Choreiform CP
Rigid CP
Mixed CP
DIAGNOSIS
Physical Evaluation
Magnetic Resonance Imaging(MRI)
Computerized Tomography(CT) scan
EEG
X-ray skull-intracranial calcification
Neurological assessment
Ultrasound
TREATMENT
Physiotherapy
Occupational therapy
Speech therapy
Surgery
Adjunctive therapy
Recreation therapy
Reduce spasticity
Increase mobility and flexibility
Prevent deformity
Improve physical activity
Improve functional skills
Intake of proper diet and medications
MEASURES TAKEN BY A
CP PATIENT
MAINTAIN PROPER DIET
