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Cerebral Palsy Notes

Medicine Notes > Paediatrics Notes

This is an extract of our Cerebral Palsy document, which we sell as part of our Paediatrics Notes collection written by the top tier of University Of Leicester students.

The following is a more accessble plain text extract of the PDF sample above, taken from our Paediatrics Notes. Due to the challenges of extracting text from PDFs, it will have odd formatting:

Cerebral Palsy A disorder of movement and posture caused by permanent and nonprogressive cerebral lesion acquired early in brain development
- Often complicated by other neurological and learning difficulties
- Although the brain lesion itself is non-progressive, the clinical picture changes as the child grows and develops

EpidemiologyPrevalence 2.5/1000 children Incidence increasing as younger premature babies are surviving

Aetiology-Prenatal o Cerebral malformations o Congenital infection o Metabolic defects (maternal malnutrition) o Fetal alcohol syndrome Perinatal o Complications of prematurity (including haemorrhage) o Intrapartum trauma o Hypoxic-ischaemic insult o Jaundice o Hypoglycaemia Postnatal o NAI o Head trauma o Meningitis o Encephalitis


Hemiplegia o One side of the body o Delayed walking o Tiptoe gaite with arm in dystonic position Diplegia o Both legs involved with arms less affected or unaffected o Excessive hip adduction (difficult to put nappy on) o Scissoring of legs o Characteristic gaite - feet in equinovarus, walking on tip toe Spastic Quadriplegia o All extremeties involved o High association with learning difficulties and fits o Swallowing difficulties + reflux common o Flexion contractures at elbows and knees Athetoid cerebral palsy o Basal ganglia damage o Writhing movements (increased and decreased tone) o Speech affected o Intelligence often normal o Major physical impairment

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