Doctor insights on:
Saturday Night Palsy In Children
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
...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
Congenital: Usually congenital-idiopathic. Rarely a brain tumor. Sometimes post-viral infection. But surely you discussed this with the ophthalmologist, no? ...Read more
Very unlikely: From the Mayo clinic, progressive supranuclear palsy "typically affects people around the age of 60, and is virtually unknown in people under the age of 40." http://www. Mayoclinic. Org/diseases-conditions/progressive-supranuclear-palsy/basics/definition/CON-20029502? p=1 ...Read more
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
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
Yes: The main goal is to promote muscle lengthening, normal range of motion and hand-eye coordination; these are most effective if performed during infancy. Gentle stretching and passive range of motion exercises can be used. Most compensatory adaptation of movement the child tries to use should be discouraged, and normal movement encouraged. Check w/ a physiatrist or osteopathic doctor for specifics. ...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
Why do some parents want their children to act like an adult when they hit their 30's even if they have a disability like cerebral palsy?
Confusing question: An adult is an adult. The majority cerebral palsy patients have no cognitive impairment that would prevent acquiring adult self monitoring & awareness skills. Those that are mentally impaired need help with these issues but can learn them over time. Why wouldn't a parent want his kid to develop acceptable behavior pattern. ...Read more
I have hypokalemic periodic paralysis. Should I not marry and have children because my children will inherit it? Thank you.
It's up to you...: BUT...Hypokalemic periodic paralysis is a treatable genetic disorder with a normal life span. Progress in genetics and DNA analysis suggests there may be better treatments and even cures in the future. Unless a patient is so miserable that they would never want to put their child through the same experiences, I would advise against a decision not to marry or have children. That seems extreme! ...Read more
What's the best treatment plan for Saturday night palsy, what kind of splints does physiotherapy help thanks?
See doc: I would see a Neurologist for evaluation. Every case of saturday night palsy I have ever seen turned out to be something else that was treatable. ...Read more
Can having a head tilt or cranial palsy cause you to see ghost images around lights and objects. That are worse at night, not true double vision?
I have cerebral palsy & am having bad stiffness and pain at night in hamstrings and hips & trouble moving in daytime as well. Is it age? How can I fix?
Common problem: Many people with CP have problems with stiff muscles and pain from that. You can ask your doctor for a muscle relaxant and that is helpful in some people. Also regular stretching or yoga can help a great deal. It may be helpful for you to get a physical therapist to teach you the most helpful stretches to do at home. ...Read more
I have cerebral palsy and I have had severe cramps and spasms in my legs for about four days now. It's really bad. (especially at night)I can't see my p?
English "palsy". ..: ...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 "palsy" is largely obsolete. ...Read more
Not a disease itself:
Bulbar palsy is an assortment of signs and symptoms, not the name of a precise disease. It refers to impairment of function of the cranial nerves ix, x, xi and xii. Its causes are many but here are a few:
acute intermittent porphyria, motor neuron disease (als), guillain barre syndome, lyme's disease, botulinism, and myastheinia gravis. ...Read more
Not very: Bells palsy is not as uncommon as is generally believed. Worldwide statistics set the frequency at just over. 02% of the population (with geographical variations). In human terms this is 1 of every 5000 people over the course of a lifetime and 40, 000 americans every year. (courtesy of the bells palsy web site). ...Read more
Couple of ways: Treatments for bell's palsy include ensuring protection for your eyes [make sure that they are kept moist and protected]. Sometimes physicians will prescribe steroids [to reduce possible swelling] or antivirals [if it is suspected that the bell's palsy was triggered by a virus]. If you suspect that you have bell's palsy, see your doctor to determine the right course of treatment. ...Read more
Variable: The course of bell's palsy varies from person to person. It is thought to be due to a viral infection that causes swelling in the facial nerve and leads to weakness or paralysis of the facial muscles. This can occur over the course of hours or days. Fortunately, most people recover normal facial function but this can be permanent. ...Read more
History and exam: Typically the diagnosis of a third nerve palsy is made by a history of double vision and then a clinical exam that demonstrates and abnormality of the opening of the eyelid (ptosis), the pupillary size (bigger) and/or the eye movement. Imaging may be useful for uncovering the cause, but the diagnosis is made clinically. ...Read more
Several things: Other than the obvious facial weakness causing cosmetic problems there are other things: 1. Can't close eye - this will dry out the cornea, lead to abrasions and possibly blindness if not treated; 2. Speech difficulty as the lips will be paralyzed and unable to help form sounds; 3. Eating difficulties - along with #2, weak lips will cause food to drip out of the mouth. ...Read more
See an ENT: Bell's palsy is a diagnosis of exclusion - meaning that diagnosis is only given when the precise cause of facial paralysis cannot be definitively given. You should see a doctor familiar with all causes. Fortunately most are of viral origin and self limited with full to near full recovery expected. However rarer causes like benign tumors, stroke, lyme disease etc etc must be ruled out. See an ent. ...Read more
That depends: It is really hard to say without more information. What and how severe was the initial cause, and how long it has been since the cause? That being said, many cases recover within weeks, but it can take months. After 6 months further recovery is unusual but not impossible. ...Read more
Rapid: It is of rapid onset, frequently at night. ...Read more
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- Treatments for saturday night palsy
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