What is Cerebral Palsy?
- It is a common congenital condition, where the child presents with musculoskeletal and cognitive problems, caused by injury to the immature brain.
What causes Cerebral palsy?
- prematurity (most common)
- prenatal intrauterine factors
- anoxic injuries
- perinatal infection such as toxoplasmosis,CMV,ToRCH,herpes simplex,rubella
- brain malformations
- meningitis
- brain trauma - NAT
How is Cerebral Palsy diagnosed?
- Clinically
- developmental milestones,
- cognitive function, and
- musculoskeletal abnormalities such as
- spasticity,
- impaired balance,
- loss of motor control.
How is Cerebral Palsy treated?
- physical therapy
- bracing/orthotics,
- medications for spasticity
Role of Botulinum Toxin in management of cerebral palsy?
- Blocks spasticity causing receptors, for a limited time.
- It helps in maintaining motions of the upper limb and lower limbs, especially during rapid growth periods.
- It acts as a time-buying strategy for kids. Surgery of these kids to be avoided till the age of 8 yrs.
- often injected into calf muscles.
- It acts only when the deformity is not fixed, that is when joints can be moved. It has no role when there are fixed contractures.
Surgical Management of Cerebral Palsy?
- SEMLS surgery (Single-Event, Multi-Level Surgery)
- Multiple deformities i.e deformities at hip, knee, and ankle are addressed in a single sitting.
- This helps for early rehabilitation and less anesthetic exposure to it.
- Fascial lengthenings are done so as to cause minimal damage to the muscle.
For More Details, Please Contact
Dr. Gaurav Jain
20 B Sainath Colony, Indore
Call us +919111464959