Download - Cerebral palsy SGD
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Cerebral palsySGD
Dr SaffiullahAP Paeds
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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
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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?
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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
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Classification
SpasticAtaxicAtonicAthetoidmixed
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Presentation
Abnormal postureDelay in attaining motor mile stonesFloppinessDifficulty in swallowing/choking episodeAbnormal body movementsSeizure disorderBig/small headVisual/hearing difficulties
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Diagnosis
History and examinationNeuro imaging
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Management
MultidisciplinaryOT/PhysioSpeech therapyHearing/visual inputOrthosis/mobility aidsOrthopedic surgeryMedications muscle relaxent, antireflux,
laxativeRhizotomy, Baclofen pumps, Botoxin
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Thank you