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CEREBRAL PALSY (CP). Dr Raj Kumar Yadav Assist. Prof. , PMR MBBS VI Sem. – 25/04/2019.
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DEFINITION. C linical syndrome has three important criteria - 1. Motor dysfunction. 2. Non progressive brain damage. 3. Affecting an immature developing brain. other areas of brain in addition to motor areas impairments of vision, communication, cognition, mental functions, seizures etc. during prenatal, during the delivery or postnatal period ..
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DEFINITION. “Cerebral palsy describes a group of permanent disorders of the development of movement and posture, causing activity limitation; those are attributed to nonprogressive disturbances that occurred in the developing foetal or infant brain. The motor disorders of CP are often accompanied by disturbances of sensation, perception , cognition, communication, behaviour, by epilepsy and by secondary musculoskeletal problems”. Bax et al. 2005 and Rosenbaum.
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RISK FACTORS. A. Prenatal Period: Pre term (below 36 weeks) low birth weight (below 2000gms) TORCH infection bleeding at third trimester pre- eclamsic toxaemia twins and multiple pregnancies.
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RISK FACTORS. B. N atal Period: Prolonged labour pains rupture of placental membrane outside and the time delay from rupture to delivery (if there is delay the child is exposed to infections) Abnormal presentations like breech severe hypoxia, bradycardia etc.