It's a non progressive neuromuscular disorder causing gentle to severe disabilities throughout life.This condition is manifested as a group of persisting qualitative motor disorders that seem in young children due to damage to the brain throughout delivery or due to some pathological conditions within the intrauterine life.The neuroligical problems are multiple but non progressive in nature.Approximately two per 100 live birth has this problem.This disease is having no hereditary tendency.

Causes of cerebral palsy:

1) Injury to the brain throughout delivery.

two) As a complication of forceps delivery.

3) Lack of oxygen offer to the baby throughout delivery.

four) Infections throughout delivery.

Signs and symptoms of cerebral palsy:--

The signs and symptoms may not be similar in all babies affected.Relying upon the harm to the brain there could be delicate to severe lesions.

Gentle cases:- 20% kids will have gentle disability.

Moderate cases:-fifty% cases are having moderate disability.The affected youngsters need self help for assisting their impaired ambulation capacity.

Severe cases:-Concerning thirty% of the affected children are totally incapacited and bedridden and they allways need care from others.

Abnormal findings in cerebral palsy:-

one,Abnormal neonatal reflexes.

a pair of,Stiffness of all muscles with awkward motion.
three,Extention of extremities on vertical suspension of the infant.

four,Scissoring of the lower limbs because of spasm of the adductor muscles of the thigh.

five,In severe cases the rear bend backwards like and arch.

6,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,Mild to severe mental retardations.

eleven,Abnormal movements are seen in some cases.

twelve,Tremors with typical movements.

13,If cerebellum is affected there will be loss of muscle tone with problem in walking.

14,Complete or partial loss of hearing.

15,Speech might be affected.

sixteen,Squint and other visual problems may be associated.

seventeen,Convulsions might be seen in some children.

Cerebral palsy is diagnosed by detailed clinical examination and by eliminating different similar diseases like brain tumour, progressive atrophy ect.All investigations like CT scan,MRI and routine investigations are needed to ruleout other diseases.

Management of carebral palsy:--

General management:

This includes correct nutrition and private care.  Symptomatic medicines are needed to scale 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 coach walking,swallowing and talking.The affected youngsters also are trained to hold articles for routine activities.

Rehabilitation:

Moral and social support ought to be given to those children.They ought to be send to special schools where special coaching can be given by trained staff.Mentally retarded children would like special training.Relying up on the disabitity special instruments and machines are given for locomotion and to assist their daytoday activities.

Occupational therapy:

This can be given by occupational therapists.They train the disabled folks to try to to some suitable works so that these individuals can have their own income.

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Tags: progressive neuromuscular disorder, neonatal reflexes, Health, signs and symptoms of cerebral palsy, CEREBRAL PALSY

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