Doctor insights on:
Spastic Diplegia Definition
My dd is 2yrs dgnsd with spastic diplegia. She's sitting unaided (sitting up on own), pulling up to stand, crawling, pulling to stand. What's prognosis?
Each child is unique: The fact that she is developing so well increases the likelihood that she will be more functional as she gets older. However, every child is different, so there is no way to be precise. The important thing is to continue with aggressive therapy and see the neurologist regularly for medication adjustments, etc. The goal is to give her every opportunity to meet her potential. ...Read more
Several: There are multiple treatments that can be used to treat the spasticity related to spastic diplegic cerebral palsy. The main consideration is making sure that the treatment does not make the legs too weak and affects walking ability. Medications, physical therapy, injections with botulinum toxin and surgery (last resort). May all be used depending on the patient and his/her functional goals. ...Read more
Stiff legs from CP: Cerebral palsy describes disorders of movement & posture related to injury to the developing nervous system before the third birthday. (pregnancy, labor, delivery or after) an injury to the brain cells that handle the motor functions of the lower extremities can produce diplegia (two limb) stiffness. This injury has been associated with a brain hemorrhage near the motor cells. ...Read more
Can spastic diplegia in adults be corrected with surgery. I have 2.5cm discrepancy rt leg longer then left with gait walk.?
What to do if I'm a mother of a spastic diplegia CP child. Do any problems will arise for my secong pregnancy though my tor?
It depends on the initial insult that caused the spastic diplegia. For decades doctors usually attributed spastic diplegia and other forms of cerebral palsy to complications that had occurred during delivery. Today, thanks to a large study funded by the National Institute of Neurological Disorders and Stroke, researchers have discovered that less than a tenth of CP cases are caused by injury at birth. Many cases of CP are caused by infections or other trauma while the baby is still in the womb. A few cases of CP are caused by head injury or infection after birth.
Other risk factors for CP include low birthweight and prematurity. ...Read more
Does interthecal baclofen pump need to be removed/turned off in the event of pregnancy. Have had positive test dose results for spastic diplegia cp.
No: Do not turn off an intrathecal Baclofen pump except for short periods (in an mri, e.g.). The amount of Baclofen that enters the bloodstream is negligible, so fetus is almost not exposed at all to baclofen. It is dangerous to completely turn off a Baclofen pump, this could result in serious or life-threatening spasticity. Talk to your doctor for more details of managing your pump. Good luck! ...Read more
SPASTIC DIPLEGIA: Spastic paraplegia means weakness in all four limbs, but legs are weaker than the arms, spasticity will be more obvious in legs rather than arms, spastic paraplegia or also called diplegia is common in premature babies who have complication of prematurity like intraventricular hemmorhage which leads to white matter changes around the midline in the brain which controls the motor function of the le. ...Read more
Spasticity: Spasticity = "Spasticity is stiff or rigid muscles. It may also be called unusual tightness or increased muscle tone. Reflexes (for example, a knee-jerk reflex) are stronger or exaggerated. The condition can interfere with walking, movement, or speech." Per MEDLINE PLUS. See: https://medlineplus. Gov/ency/article/003297.htm ...Read more
Ileus: Ileus is the development of distention of the intestines as a result of decreased peristaltic motility. Usually this is the response of the gut to some type of noxious stimulus, either traumatic, infectious or inflammatory. The distension can mimic bowel obstruction and this needs to be differentiated, typically by watchful waiting. Ileus will resolve by correcting the underlying cause. ...Read more
Spasmodic dysphonia: You may be speaking about "spasmodic dysphonia" which is a disease of the communication between the brain and the nerves to the voicebox. This disorder is best diagnosed by a physician but you can find samples of how those with it sound online, I'm sure. Either way, any one with 'spastic laryngitis' sounds like they need an expert in voice. ...Read more
Genetic?: Hereditary spastic pareplegia is the name given to a mainly motor disability often in lower extremities slowly progressive with a geographical distribution. The condition often does not cause sensory or bladder problems and all tests including mri, CSF studies B12 levels etc are normal some of these cases have antibodies to htlv 1 viruses in the blood or cerebrospinal fluid. ...Read more
Hsp, is a genetic disorder transmitted as autosomal dominant, meaning one of the parent has the disease in order to pass it to the offspring.
It is a progressive spasticity in the legs, may be associated with hypertonic urinary incontinence, seizure, dementia, or peripheral neuropathy. ...Read more
Spasticity: Spasticity is a velocity dependent increase in muscle tone. It is the result of an upper motor neuron injury such as stroke, spinal cord injury, or brain injury. It typically may occur in muscles that cross two joints. As the central nervous system recovers from the injury, a paralysis may be present, but an imbalanced muscle tone may develop as a part of the recovery process. ...Read more
See below: A contracture is an abnormal loss of passive motion of a joint due to a relative shortening of the soft tissues around the joint. A spastic contracture is a contracture that occurs secondary to increased muscular gone and can be seen in patients with previous strokes and other neurological conditions such as spastic cerebral palsy. ...Read more
= Irritable Bowel: Spastic colon is an archaic term that is descriptive of the GI spasms that accompany irritable bowel syndrome (ibs). Ibs is a symptom complex that includes altered stool pattern (ranging from diarrhea, constipation, or alternating stool), altered GI motility and sensation (that typically includes abdominal pain). Diagnosis of ibs is made by exclusion and is predicated on the rome 3 criteria. ...Read more
Increased tightness: This is increased tone or tightness in the extremities related to a cerebral insult that occurred around birth. ...Read more
Very mild diplegia in an 11 months old with normal brain MRI, lab tests, improving with physio, what is the cause?
Injury to motor cntr: This generally represents an injury to the motor cortex either prior to, during or after delivery. It is more common in premature infants who have delicate blood vessels in the brain. It could involve a period of poor oxygenation or poor blood flow to the motor cortex of the brain devoted to the lower extremities. The event may be so mild that no symptoms ever surface at the time of the event. ...Read more
Yes and no: Hereditary spastic diplegia or paraplegia is a slowly progressive stiffening of the legs. Some progress more rapidly and need aggressive therapy and bracing and even surgery. More often it is very slow and can be be dealt with without braces or surgery but with appropriate therapy. There is no cure, but there is good management. ...Read more