Cerebral palsy SGD Dr Saffiullah AP 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 palsy 5.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 encephalopathy Brain Injury that is non-progressive manifested as disorder of posture and movement Often associated with seizure disorder, speech difficulties, vision & cognitive dysfunction

Classification Spastic Ataxic Atonic Athetoid mixed

Presentation Abnormal posture Delay in attaining motor mile stones Floppiness Difficulty in swallowing/choking episode Abnormal body movements Seizure disorder Big/small head Visual/hearing difficulties

Diagnosis History and examination Neuro imaging

Management Multidisciplinary OT/Physio Speech therapy Hearing/visual input Orthosis/mobility aids Orthopedic surgery Medications muscle relaxent, antireflux, laxative Rhizotomy, Baclofen pumps, Botoxin

Thank you