Cerebral palsySGD

Dr SaffiullahAP Paeds

Learning outcomes

By the end of this discussion you should be able to;

1.Define cerebral palsy and be able to explain it to parents

2.Know the different presentation patterns of cerebral palsy

3.Know the types and physical finding on examination

4.Investiagte a child with suspected cerebral palsy5.Know principles of management of cerebral palsy

Case history

A 1 year old boy was seen in the clinic because he is still not able to sit on his own.

1.What 6 important question would you ask in history?

2.What 6 important things would you examine during systemic examinations?

3.What one important investigation would you do?

4.What are the principles of management?

Definition

Static encephalopathyBrain Injury that is non-progressive

manifested as disorder of posture and movement

Often associated with seizure disorder, speech difficulties, vision & cognitive dysfunction

Classification

SpasticAtaxicAtonicAthetoidmixed

Presentation

Abnormal postureDelay in attaining motor mile stonesFloppinessDifficulty in swallowing/choking episodeAbnormal body movementsSeizure disorderBig/small headVisual/hearing difficulties

Diagnosis

History and examinationNeuro imaging

Management

MultidisciplinaryOT/PhysioSpeech therapyHearing/visual inputOrthosis/mobility aidsOrthopedic surgeryMedications muscle relaxent, antireflux,

laxativeRhizotomy, Baclofen pumps, Botoxin

Thank you