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.
Motor handicap. Motor problems such as spasticity, stiffness of joints, tremor or other movement abnormalities, deformity at knees, ankles, elbows, and wrists, developmental delays.
Movement problems. One of the biggest problems facing children with cerebral palsy is spasticity which is increased tone in the muscles. This cause problems walking, using their upper extremities, sometimes speaking or swallowing. Children with more severe cerebral palsy also have seizure disorders and cognitive problems. Unfortunately almost all organ systems are affected by cp.
Balance, weakness. A child with mild cerebral palsy may just have some problems with balance when walking. They might have some problems with fine motor skills like picking up objects. There may even be subtle vision and speech problems. Some children have some behavioral problems as well.
Clumsiness and stiff. Cerebral palsy is a neurologic disorder related to damage to the motor system of the brain. The most common symptoms are stiffness of muscles, tightness of joints and clumsiness.
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.
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.
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.
Does a child with cerebral palsy have to depend on others for everything? Can this child be trained to lead a somewhat independent life?
Cerebral. Cerebral palsy is caused by damage to the motor areas of the brain that can occur during pregnancy, childbirth or anytime up to age 3. There are three main types: spastic, ataxic and dyskenetic - all of which have different symptoms. Some people affected with cerebral palsy have very mild symptoms (my college roommate had mild cerebral palsy on her left which caused a slight limp - this did not stop her from graduating with honors, landing a great job, marrying and having 2 beautiful children.) and some people have symptoms that are more severe. Because of this, each child's potential must be assessed individually. In general, the earlier treatment begins, the better chance kids have of overcoming developmental disabilities and learning new ways to accomplish tasks that challenge them. Treatment is interdisciplinary and can include interpersonal therapists, occupational therapists, medications, orthotics and surgeries. The best people to ask about a child's prognosis are the doctors and therapists working with the child. Legal disclaimer: I am providing this general and basic information as a public service and my response to this question does not constitute a doctor-patient relationship. For any additional information, advice, or specific concerns, please speak with your own physician. The information provided is current as of the date of the answer entry.
Yes. There is a spectrum of involvement with cerebral palsy. Those with spastic diplegia are usually most likely to develop independent skills.
Hard to comment. CP is a label applied to a disorder of movement & posture caused by a static brain injury. It can be so mild that people don't know they have it, or so involved, they are bedridden for life. Physical & occupational therapy in childhood can often help maximize mobility & function. Many have normal lives with jobs & kids, but some do not.
It depends. Most children (70%) with CP walk, however there are still many that don't. There are some signs to watch for. If the child isn't sitting independently by age 2, retains primitive reflexes, among others, the child may not walk. It is very important to have your child followed closely by a multidisciplinary team including a pediatric orthopaedist, pt, neurologist, orthotist, etc.
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.
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.
Loss of motor neuron. It is not clear why the motor neurons do not develop properly, or if they develop but are damaged or destroyed during the pregnancy, but the diagnosis of cerebral palsy is applied when it seems evident that the cerebrum, the part of the brain with the motor cortex, is missing nerve tissue or it is not working right. Then the muscles don't get the right nerve signal, are weak, often tight.
Brain damage. Cerebral palsyis a static encephalopathy meaning a injury to the brain causing damage that is permanent and non-progressive. If that damage includes injurytothe parts of the brain involving motor development, the child wil have motor delays that are permanent and non-progressive.
Brain-based. Cerebral palsy means " weakness that comes from the brain, " a categorical diagnosis. It can be from the way the brain formed, beginning in the first month of pregnancy. Any time before or after birth areas of the brain may have had insufficient oxygen, a stroke, or a bleed for a variety of reasons. Pediatric neurologists may be consulted to help find the cause.
Support and teach. The physical and occupational therapists are probably f the most important medical professionals in the life of a child with cerebral palsy. They help with positioning, strengthening, stretching tight muscles, helping children clothe themselves, feed themselves and prepare for life. For children who have more severe problems, they help in wheelchairs, standers, bracing, etc.
Encourage developmen. Children with cerebral palsy have delay in their motor development. Physical therapists work to help encourage motor development through exercises, stretching, bracing and use of special techniques like functional electrical stimuation and kinesiotaping.
Manage motor problem. Physical therapists work with children who have cerebral palsy by stretching muscles with exercises, maintaining range of motion at joints, working with psysical medicine doctors and orthopedists in prescribing and fitting braces and the use of wheel chairs where necessary. They also work with parents to encourage their working with their children and making sure seating posture is correct.
2 years old child with cerebral palsy and myoclonic fit on depakin 50mg/kg/d and not response. What is the next step in treatment?
Could be serious. There is no sense guessing without a lot more information. Please contact your primary care provider to see how this applies to you.
Possible change meds. Different antiepilepsy medications have different effects on different seizure types.
Dose change. Anti-seizure meds are typically started at the lowest therapeutic dose and slowly increased if the patient continues to have breakthrough seizures. If your child continues to have seizures, you should call the prescribing doctor to ask what they want to dose to change to.