Cerebral Palsy | The Complete Guide to CP | – Cerebral …

What is Cerebral Palsy?

Cerebral palsy is a developmental disorder and leading cause of disability in young children. It affects approximately 500,000 children and adults, with around 8,000 babies and between 1,200 and 1,500 preschool-age children diagnosed each year.

Cerebral palsy occurs as a result of a brain injury sustained during fetal development or birth. However, because the symptoms of CP affect a childs coordination and independent movement, the injury is not always diagnosed right away, especially when the symptoms are mild.

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Parents usually notice that something is wrong when a child fails to reach developmental milestones such as

This may lead to a diagnosis later in life, accounting for the children who are diagnosed as toddlers.

Cerebral palsy is caused by damage to the motor cortex of the brain. This is the part of the brain that affects muscle control and coordination.

For this reason, children with cerebral palsy frequently struggle with walking and fine motor skills. The type and severity of symptoms can vary significantly from one patient to the next, and an individuals case may be made more complex by the presence of coexisting conditions such as

CP treatments are always highly individualized to suit the needs of the patient. There is no cure for cerebral palsy, but many treatments and therapies exist that can provide relief from symptoms.

(Back to Top)When you first face a diagnosis of cerebral palsy for your child, you may struggle with understanding what the diagnosis will mean and how it will affect your life. CP is complex, and it differs between patients. There are a few general things that can help you begin to understand your childs condition, however:

Cerebral palsy describes a group of disorders that display similar symptoms. All CP is caused by brain injury to the motor cortex, affecting an individuals balance, posture, and ability to move.

CP affects approximately 1 in 345 children. It is the most common form of motor disability in young children.

The most common form of CP is spastic CP, affecting as much as 85 percent of all cases. In spastic cerebral palsy, the patients muscles are tightened, and this stiffness can result in awkward movement.

A number of co-occurring conditions often exist alongside cerebral palsy. These include

These conditions are not caused by CP but arise as a result of the type of brain injury that caused CP.

Most CP is congenital, meaning it occurred before or during birth. Risk factors for congenital CP include

Exposure to certain infections, medications, and chemicals while in the womb can also lead to CP. CP can also be acquired after birth, most commonly as a result of traumatic brain injury or brain infection.

The majority of children with CP are diagnosed within their first two years of birth. More severe cases are usually diagnosed earlier in life; mild symptoms may go unnoticed longer.

Although CP is a serious and lifelong condition, many treatments are available that can reduce the severity of symptoms and allow children with cerebral palsy to live long, independent and active lives.

(Back to Top)Cerebral palsy is a neuromuscular disorder caused by damage to the motor cortex of the developing brain. This affects motor functioning, including an individuals ability to move, grasp objects and talk.

It can also affect muscle tone, resulting in individuals with overly toned, tight muscles and rigid joints or loose, floppy muscles and joints.

The type and severity of CP symptoms will depend in large part on the extent of the brain injury and when it occurred. There are four primary situations that will lead to cerebral palsy to arise:

Although not every case of CP is preventable, and the underlying causes of many CP cases are unknown, there are certain risk factors that can increase a childs odds of developing cerebral palsy:

Although the exact cause of an individuals cerebral palsy is not always uncovered, its estimated that between 10 to 15 percent of CP cases arise as a result of medical malpractice. This may include:

(Back to Top)Although a layperson may sometimes call cerebral palsy a disease, this term is medically incorrect. In medical terms, a disease has a specific identifiable cause such as environmental factors, infective agents or genetic anomalies.

A disorder refers to a cluster of symptoms or abnormalities that may not have a single cause, or whose cause is not fully known or understood.

Because so many factors can cause CP, and the symptoms are so variable, it is more accurate to refer to it as a disorder.

(Back to Top)There is currently no known cure for cerebral palsy. Currently, CP is treated with medication and therapies that help to mitigate symptoms but cannot correct the underlying pathology. A child with cerebral palsy will continue to have CP throughout his or her life.

This is because CP is caused by brain injury, and modern medicine currently cannot regenerate brain tissue.

Nerve and brain cells do not heal in the same way as other parts of the body, and the damage they sustain is generally irreparable. However, modern advancements in the use of stem cell therapy have shown some promising results in neuro-regenerative treatment.

Stem cells are a special type of undifferentiated cell. All cells in a developing fetus begin as stem cells, which then differentiate to become specific types of cells with a specific purpose.

Some of these cells are retained in the body throughout a persons life. By isolating these cells and injecting them into a damaged area, scientists believe that the cells can develop into brain and nerve tissue. This may lead to a cure for cerebral palsy and many other neurological conditions and disabilities in the future.

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Cerebral palsy is a disorder that can affect the patient in a number of ways, and the type and severity of symptoms will vary depending on the extent of the brain injury sustained.

For this reason, no two people with CP will have exactly the same circumstances. However, basic similarities between cases make it possible for CP to be divided into a number of identifiable types.

By understanding the type of cerebral palsy your child has, you can better understand the treatment options available. However, bear in mind that it is possible to have more than one type of CP, which will affect symptoms and treatment.

(Back to Top)Spastic cerebral palsy is the most common type, affecting more than 70 percent of CP patients. This type is characterized by hypertonia, or increased muscle tone and stiff, tight muscles.

People with spasticity may have muscles that they cannot relax, leading to rigid joints. If the patient can walk, he or she may exhibit an abnormal gait. Difficulties with eating and speaking are also common.

Spastic or pyramidal cerebral palsy can be further characterized by which parts of the body are affected.

(Back to Top)This is the most severe type of spastic cerebral palsy. It is caused by significant brain damage and affects the entire body. Patients with spastic quadriplegia experience hypertonia in all four limbs, preventing them from walking or using their arms and hands effectively.

Patients may also struggle to:

Seizures are common for people with this type of CP; cognitive disabilities are also common due to the extent of brain damage.

(Back to Top)Other, less severe cases of spastic cerebral palsy may be diplegic, affecting primarily the legs, or hemiplegic, affecting the limbs on just one side of the body.

(Back to Top)Also called dyskinetic or dystonic CP, athetoid cerebral palsy makes up 10 to 20 percent of all CP patients. It is most commonly characterized by uncontrollable movements. Some common symptoms include:

Athetoid cerebral palsy frequently affects the upper extremities and neck more than the lower body. It does not frequently occur with cognitive impairment, but patients may struggle to speak and eat.

(Back to Top)The least common type of cerebral palsy, ataxic CP affects around 5 to 10 percent of patients. The name comes from the root word ataxia, meaning uncoordinated, which describes the difficulties with balance and coordination that occur with this type of CP.

The most common symptoms of ataxic CP include:

People with ataxic cerebral palsy may experience tremors when attempting voluntary movements. They also may have an unsteady gait and difficulty with any task requiring fine motor skills, especially in the hands and fingers.

Ataxic CP is often diagnosed later in life than other types, usually after a child has reached 18 months of age.

(Back to Top)Because different forms of cerebral palsy are caused by injuries to different areas of the brain, and multiple brain injuries can occur, some patients exhibit more than one type of CP.

In mixed-CP cases, symptoms of more than one type are present. For example, some of a patients muscles may be hypertonic while other muscle groups are hypotonic.

The most common mixture of symptoms is a blend of athetoid and spastic symptoms. Athetoid and ataxic symptom combinations occur least frequently. A patient with mixed spastic and athetoid CP might commonly exhibit stiff muscles coupled with involuntary movements.

Mixed cerebral palsy accounts for 10 percent of all CP cases.

(Back to Top)In addition to the type of symptoms experienced, cerebral palsy can also be classified by the severity of symptoms. Most CP cases result in at least some amount of paralysis, and the severity of paralysis and its spread across the body can vary from one person to another. The groupings are:

More widespread paralysis comes with a greater risk of dangerous side effects, such as pneumonia, as well as an increased likelihood of co-occurring conditions like cognitive disability and epilepsy.

(Back to Top)Because there are so many types of CP, symptoms will vary from one patient to the next. The specific symptoms an individual exhibits will depend on the type of cerebral palsy they have as well as the location of the affected muscle groups.

However, a number of symptoms are common in children with CP, and similar early signs may be noticed by parents or caretakers.

Cerebral palsy is diagnosed based on the presence of the following clinical signs:

Not every child with cerebral palsy will exhibit all of these symptoms. However, the presence of some or all of these symptoms with no other identifiable cause may lead a doctor to investigate the possibility of cerebral palsy. A diagnosis will be confirmed with brain imaging.

(Back to Top)In most cases, cerebral palsy is first suspected when a parent or caretaker notices delays in a childs development. Children are expected to hit certain milestones as they grow, such as holding up their heads, rolling over, crawling and walking.

Failure to reach these milestones or exhibiting unusual behavior when attempting these movements is often the first sign that something is wrong.

Once initial symptoms or developmental delays are noticed, the childs doctor will run a number of diagnostic tests, including brain imaging to identify areas of brain injury. Imaging types include:

In addition to brain imaging, testing may be done to identify the following:

(Back to Top)Because there is no cure, cerebral palsy research has focused primarily on prevention and treatment. As the underlying causes of CP are becoming better understood, certain steps can be taken to prevent cerebral palsy by mitigating risk factors.

Some of these risks can be managed or mitigated. Improved genetic screening options allow parents to identify certain risk factors before conception or early in pregnancy.

The most preventable cause of cerebral palsy is medical malpractice. Although malpractice only accounts for an estimated 10 to 15 percent of diagnosed CP cases, every case is preventable.

Parents whose children have been affected by medical negligence should pursue legal help action against the responsible medical staff for accountability and to prevent future children from enduring the same fate.

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Cerebral palsy treatments can improve the overall quality of life for patients. By managing symptoms and preventing secondary conditions from developing or worsening, cerebral palsy treatments can focus on allowing a child to live the best life possible.

Although the disorder cannot be cured, symptom management and therapy will allow the patient to adjust to their disability.

The most common forms of treatment are specialized therapies, which aid in improving specific actions and symptoms, and medication that can reduce pain, relax muscles and prevent seizures. Surgery can, in some cases, also be helpful.

The effectiveness of treatment will vary depending on the severity of CP symptoms. In some cases, individuals with CP can go on to live independent, productive lives as adults thanks to therapy and CP treatments.

CP treatment can assist with:

Treatment can begin immediately when symptoms are first noted, with some treatment options available before the child has received a formal diagnosis.

The type of treatment administered may vary throughout the childs life to reflect changes in condition and the patients capabilities. For example, therapy may become more intensive as a child grows older.

Because there are so many aspects to living with cerebral palsy, your childs medical team may be made up of multiple specialists. Some of the doctors you may work with to provide treatment include:

Your childs pediatrician may act as the primary care provider, offering referrals to specialists and guiding the care process.

(Back to Top)Medication can help to reduce certain symptoms and manage pain. The most commonly prescribed drugs for CP patients are muscle relaxants, which work to reduce spasticity, and anti-seizure medication. Some cerebral palsy medications your child may take include:

All medications come with potential side effects, and these should be discussed with your doctor so that you can ensure an appropriate trade-off between benefits and drawbacks.

(Back to Top)Orthopedic surgery is not always effective, but it can offer impressive results for the right candidate. The purpose of surgery as a CP treatment is to improve mobility or reduce the possibility of complications.

For example, muscle spasticity can lead to joints being pulled out of position or dislocated; surgical intervention can prevent this from happening. Surgery can address:

In some cases, surgery can also help to alleviate pain. However, not every individual will be a good candidate for surgery, and risks should be assessed before pursuing this treatment.

(Back to Top)A number of therapy options are available, depending on the individuals symptoms and needs. Therapy is one of the most common and effective CP treatments for improving quality of life and boosting independence, and it is most useful when blended with other treatment options.

Therapy can also be helpful for parents and caregivers by providing practical solutions for common problems as well as creating opportunities for emotional support and coping mechanisms.

(Back to Top)Cerebral palsy is a lifelong condition, but it is not degenerative. This means that symptoms will not worsen over time. With treatment and therapeutic interventions, many children with cerebral palsy can grow up and live independent and productive lives. Many more can live well into adulthood with the help of professional caregivers and familial assistance.

There is no one-size-fits-all answer or solution to the question of how long a child with cerebral palsy will live. It is always best to consult with your childs physician to discuss his or her individual prognosis so that plans can be made accordingly.

By understanding the potential risks and possibilities of complications, you can help to mitigate these factors and help ensure your childs quality of life and lifespan are the best possible.

(Back to Top)Medical malpractice accounts for a relatively small but significant number of new cerebral palsy cases each year. Its also the most easily prevented cause of CP.

If your child has recently been diagnosed with CP, you may wish to contact a cerebral palsy attorney to help you investigate the circumstances surrounding the birth and identify whether malpractice may have been responsible.

A nurse may fail to protect an infant from infection in NICU. An administration error might result in diagnostic information not being relayed to the parents in time. Any and all of these could result in complications that could lead to cerebral palsy.

It is not always easy to identify medical malpractice, and the statute of limitations will vary from one state to the next. For this reason, if your child has been diagnosed with cerebral palsy or you have any reason to suspect that medical negligence may have occurred, its important to speak with an attorney.

(Back to Top)Neuromuscular disorders with symptoms that match modern definitions of cerebral palsy have existed for centuries. Historical records describe cases that resemble what we now know of as CP occurring as far back as Ancient Egypt.

The first serious research into the underlying pathology of cerebral palsy began in the 1830s when William John Little began to study disabling conditions.

In 1853, Little published a paper describing neonatal injuries and congenital disabilities affecting the muscular system; by 1861, an early definition of cerebral palsy was reached. At that time, it was understood that partial suffocation of a child during birth could result in this disorder, which was then known as Littles Disease.

Cerebral palsy received its modern name in 1889, when Sir William Osler, building upon Littles research, began to study the disability. Several decades of research led to the development of the United Cerebral Palsy Foundation (UCP) in 1949, which continues to promote knowledge and support to this day.

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