Doctor insights on:
Can People With Cerebral Palsy Have Kids
...is a corruption of French "paralise" from Latinized Greek "paralysis." In the old days it meant any kind of persistent weakness. To this day Parkinson's disease is also called "paralysis agitans" which is a Latin translation of Dr. Parkinson's original name for it, the "shaking palsy." We've obviously reborrowed the full form "paralysis" into English as well; today ...Read more
Difficult to know: We understand that this relates to an injury to the nerves that control movement & posture within the region of the brain called the motor cortex. By definition the injury can happen any time from when the nerves form to the 3rd birthday (research definition).Whether this is from poor blood flow, silent stroke, low blood sugar, toxin or infection, no specific cause is apparent ...Read more
Hard to say: CP is caused by any injury to motor cortex in the brain from the point they become active in pregnancy to the 3rd birthday (research definition).These include loss of oxygen, blood flow, glucose (fuel), infection, trauma, etc. Studies show over half those with symptoms evident by age 7 had a normal pregnancy labor and delivery. The extent of impairment is quite variable. ...Read more
Unexpected injury: On most but not all occasions pregnancy will produce happy healthy kids. CP is a disorder of movement & posture related to an injury to the movement centers of the brain that occurs anytime before the 3rd birthday. More than half occur after nl pregnancies, with nl labor, delivery & newborn period & nl first 3y. So some unknown event occurs to cause the damage. ...Read more
Trouble with moving: Cerebral plasy specifically refers to a movement disorder caused by damage to an immature brain. So the hallmark is trouble with motor development. ...Read more
Interview the parent: The best source of information on this issue is the parent who deals with it daily. Many will provide you with a description of the activities of daily living and the kids usual routine. Any known do's & don'ts, feeding or hygiene needs should be reviewed. As long as you try to keep the kid well within his/her regular routine, things should go well. ...Read more
Preemies?: Although many answers are possible children who are born prematurely or with low birth weight are statistically more likely to have cp. This does not directly answer the question, but any condition which results in early birth could theoretically increase one person's risk of having a child affected by cp. ...Read more
Depends: Most CP originates from an unexplained injury to the brain's motor centers at some time during pregnancy. This could have been a period of low oxygen or a mini stroke, none of which can be passed to your offspring. There are a fer genetic condition that predispose someone to excess clotting or have other CP related features. A review with your doc or a geneticist could be more specific to your case. ...Read more
It depends: There are certain milestones that we look for, among them head control, independent sitting, the achievement of mature reflexes and the loss of immature reflexes. Your pediatrician will monitor for these and make referrals as necessary. ...Read more
Hard to answer: This question depends a whole lot more on your child's learning ability than their cerebral palsy. Cerebral palsy is a movement disorder, not a learning disorder. So many children with CP can learn using the same methods as any other child. If you are unsure if your child has a learning disability you should ask your doctor or a developmental pediatrician for advice. ...Read more
Non progressive: Cerebral palsy is a result of a brain injury. The damage is non progressive. However, as a person grows, the imbalances may make people clumsy. In addition, the spasticity that characterizes CP can cause limitation of motion at joints, especially the legs, . Physical therapy with stretching of joints is important to prevent limitation of function. ...Read more
No: Little's disease or cerebral palsy as it is now known is defined as a disorder of motion and posture related to an injury to the developing nervous system that occurs anytime from pregnancy up to the age of 3 years. Traumatic brain injury in an adult brain can produce similar effects, but is not cp. ...Read more
How deep to suction a child with a trach 9year old child with trach diagnosed with cerebral palsy
What things I could do with a child that has cerebral palsy and what benefit does it have for them?
Anything you can: You can and should do all that is physically possible to maintain strength and flexibility. I encourage my patients to do whatever resistance training they can. This depends upon how significant the level of CP is. Make sure you work with someone who can create a safe program for you, because you don't want to put yourself in a position where you could get hurt. ...Read more
Does a child with cerebral palsy have to depend on others for everything? Can this child be trained to lead a somewhat independent life?
Hard to speculate: You provide no background on the case if there is one that you have an interest in. CP can be so mild a person never knows it in their lifetime unless they by chance have specialized neurological testing. It can also be so involved, they are totally dependent on others for all their needs. The majority are independent and self sufficient. Some abandon walking to gain speed with a wheeled device. ...Read more
Can't hurt: Proper stimulus only helps the body develop and mature. ...Read more
Loss of motor neuron: The brain has areas where the nerves that issue working signals to the muscles are located. For these nerves to grow and mature after conception, they need nutrients (oxygen, protein, carbohydrates) all brought to them by the normal flow of blood to their location. This is assured when blood flow in the placenta & brain is normal. Nerves die if nutrients are cut off, and this causes motor problems. ...Read more
It is such a scary feeling knowing people in the family have had cerebral palsy. How can we prevent it in our child?
No: In-utero stroke patients come in all shapes and sizes. Some strokes are large and occur late in the pregnancy and can produce significant problems in the child including cp. Other strokes may be small and occur early enough in the pregnancy that the brain can repair itself before the child is born, and the child will develop perfectly normally. Most cases and outcomes lie in between these examples. ...Read more
My aunt got beat while she was pregnant. Now her child may have cerebral palsy. Could that be the cause?
Hard to say: In the largest longitudinal study to date on this subject, following 50k kids through pregnancy to age 7, no specific cause for the CP was identified. To event in pregnancy, labor, delivery or the first 3 years was identified in more than half the cases. While the beating might have influenced the outcome, the baby may have been protected by the bag of waters and placenta. ...Read more
My 21 months old child is extremely clumsy. How could I find out if something is wrong like cerebral palsy?
Start with pediatric: Start with her doctor who can give you an opinion about her motor function. If necessary, your doctor may refer you to a pediatric neurologist. Hopefully she is just clumsy. ...Read more
If your first child is born at full-term with cerebral palsy, how likely are your future children to be affected?
Not clear cut: It really depends on the cause. Often there is some identifiable risk factor or cause. For example the child who needs resuscitation at birth or had complicated pregnancy or delivery is more at risk and may not affect your risk of future affected children. But if the child has it as a result of a genetic disorder or a condition in the mom it could put you at risk of recurrence. ...Read more
It's complicated: There are a few reasons why this happens. Primarily it has to do with the imbalance muscle tone. There is a definite correlation to the level of severity and the risk of having a dislocated hip. In other words, the more severely affected a child is, the greater the risk of having a dislocated hip. ...Read more
No, no, maybe: CP is an injury to the developing nervous system, it is not inherited. There are several forms of Osteogenisis imperfecta and their inherance varies. Some do not survive infancy, some require an OI gene from both parents.Down syndrome males are usually sterile, females can reproduce and just under 50% of their babies would be DS. ...Read more