About Cerebral Palsy

Friday, October 30, 2015

About Cerebral Palsy


Cerebral palsy is the name given to a large group of disorders that affect muscles and movement. These disorders begin early in life and result from brain injuries or problems with brain development before birth. Although the specific brain injury or problem causing cerebral palsy does not worsen, the movement problems can vary over time.
Cerebral palsy is caused by damage to the parts of the brain that control muscles and movement. There are many possible ways that the brain can be damaged, including problems during pregnancy, infection, stroke, genetic problems, lack of oxygen, severe jaundice or diseases that cause the brain to develop abnormally.
Cerebral palsy can also occur after birth, such as when there is an infection of the brain or a head injury.
There are four basic types of cerebral palsy:
Spastic — Stiff, difficult movement
Dyskinetic or athetoid — Involuntary and uncontrolled movement
Ataxic — Poor coordination and balance
Mixed — Combination of these types

According to the United Cerebral Palsy Association, 8,000 infants and 1,200 to 1,500 preschoolers are diagnosed with cerebral palsy every year.

Wednesday, October 28, 2015

Cerebral Palsy Causes in Adults

Cerebral palsy in adults is used to describe a variety of chronic movement disorders affecting body and muscle coordination, caused by damage to one or more areas of the brain that occurred around the time of birth. Even though it is considered a non-progressive condition, secondary conditions usually found with cerebral palsy in adults, such as muscle tightness and other internal distress can get worse over time. Due to certain physical limitations and emotional changes that come with age, specialized research on cerebral palsy in adults is critical.

Cerebral palsy is a lifelong condition that cannot be cured. However, treatment, including physical therapy and exercise, the use of antispasmodic medicines to relax muscles, and mechanical aids, can improve an affected person's capabilities, increasing motor function and independence. Many adults with cerebral palsy are able to live and care for themselves independently. Others may need assistance in caring for themselves, help with transportation, and special employment arrangements geared to their abilities. Although the brain injury that causes CP does not get worse over time, some of its effects can appear for the first time, change, or become more severe with age. Follow the links below to find comprehensive coverage about cerebral palsy in, treatment for cerebral palsy in adults, assistive technology for adults with cerebral palsy, physical therapy for adults with cerebral palsy, and much more.
Although cerebral palsy is often considered a congenital (present at birth) syndrome, it can also develop after birth. A brain injury resulting from a brain infection (e.g., meningitis, encephalitis) or from a fall or accident is termed acquired cerebral palsy. On the other hand, congenital cerebral palsy is a result of something going wrong during fetal development or during the birth process itself. It used to be believed that lack of oxygen during delivery was the main cause, but researchers now think this only account for about 10% of cases.
A fetus develops from a single cell, which divides repeatedly to eventually become billions of cells. During the process, groups of cells become specialized to form all the different body tissues. Likewise, various types of nerve cells form and migrate to take up their proper places throughout the brain. This process is highly complex and, not surprisingly, errors sometimes occur that disturb the normal architecture of the brain.
Errors could occur as a result of the following:
A fetal stroke that cuts off blood supply to the developing brain, causing brain damage. This can be caused by maternal infections or high blood pressure.
Maternal or fetal infections can damage the white matter in the brain, which causes nerve transmission problems between the brain and the body.
Mutations can occur in genes that control fetal brain development, caused by maternal infections, fever, trauma, or fetal exposure to toxins.
Prolonged lack of oxygen to the brain because of a complicated labour and delivery, severely low maternal blood pressure, uterus rupture, or problems with the placenta or umbilical cord.

We are only now beginning to understand some of the issues surrounding the development of the fetal brain. Hopefully, more research in this area will allow us to eventually explain the exact causes of cerebral palsy.

Children with Cerebral Palsy Life Expectancy

When a person has a disability such as cerebral palsy, it leads many to wonder if it will affect that person's longevity. Cerebral palsy life expectancy rates are hard to determine. People with the condition may be affected by numerous cerebral palsy complications that can affect their health and alter the course of their life. Let's examine cerebral palsy life expectancy issues more closely.
Some mental illnesses and neurological conditions come with an associated shorter length of life. What is true if you or your child is affected cerebral palsy? How does cerebral palsy affect your lifespan, if at all?
Early in the 20th century, few people affected by cerebral palsy survived into adulthood. Advances in medical technology fortunately help most people with cerebral palsy live into adulthood. This increase in life expectancy, however, comes with added health challenges faced later in life.
In general, people with cerebral palsy live to be anywhere from 30 to 70 years old. The less severe the symptoms they experience, the longer you are likely to live.
There has not been extensive study performed on the life expectancy of people with cerebral palsy. One study conducted by Strauss, Brooks, Rosenbloom, and Shavelle in 2008 (and published in the 50th volume of the 2008 edition of Developmental Medicine & Child Neurology) revealed the following:
In general, males and females with mild cerebral palsy have lifespans significantly shorter than the general population
The more severe the symptoms of cerebral palsy, the shorter the person’s life expectancy
Young adult males and females fed by tube or by other people have a far shorter life expectancy than the general population
Individuals who cannot lift their heads as young adults have a much shorter life span than the general population
Individuals with cerebral palsy who walk unaided have the longest lifespans, which are slightly shorter than lifespans in the general population
Extensive research targeting life expectancy more precisely still must be performed. These researchers admit their research methodology is not perfect, although other researchers have found similar results.
Unfortunately, the increased life expectancy comes along with significant medical challenges and other impairments in functioning. Many of these are present at a much earlier age than you would find in the general population.
cerebral palsy complications are common in most people with the condition. In fact, most have some degree of gross motor function loss with age. If the person or their caregiver proactively addresses these losses, it may increase the person's life expectancy. The fact is, the ability to walk is believed to increase the life expectancy for those with cerebral palsy. Although at some point most people with cerebral palsy will lose their ability to walk.

Once a person has lost their mobility, they can maintain their health in a number of ways. They need to take part in muscle strengthening exercises and pay close attention to nutrition and leading a healthy lifestyle. There are many surgical treatments, therapies, and medicines that can be of use as well.

Tuesday, October 27, 2015

How To Prevent Cerebral Palsy


Cerebral palsy is not a disease. It cannot be transmitted or spread to someone, as with infectious illnesses such as the common cold for flu. Nor is it strictly an inherited condition - although there is sometimes a genetic component.
However, this condition can be caused by injury, which can happen during childbirth. A number of events during delivery can cause the kind of damage to the brain or nervous system that is associated with cerebral palsy. These include reduced oxygen to the baby during birth, a rupture of the uterus, umbilical cord compression, the location of the placenta or trauma caused by long, difficult labors.
How To Prevent Cerebral Palsy

Sometimes these events cannot be prevented, but in some extremely regrettable circumstances these injuries are caused by negligence or malpractice by medical professionals. In these instances, families may even consider taking legal action.
Birth Injury Cases: A Serious Legal Issue
A court in Maryland recently handed down a record cerebral palsy verdict. The plaintiff alleged that medical staff failed to properly monitor the baby's fetal heartbeat, leading to permanent brain damage while she waited more than two hours for an emergency caesarian section.
The jury ultimately agreed and awarded the family roughly $55 million. While this was one of the largest malpractice awards in the state's history, this is a lifelong condition and care is expensive. Many people with this disorder are able to live independently through a combination of medication and regular care, including physical and occupational therapy. But in severe cases, patients may require assisted living facilities throughout their life. In all cases, patients require significantly more medical care than the average person.
Signs and Symptoms: Understanding the Condition and Getting Help
Cerebral palsy signs don't always emerge right away. Symptoms can even appear one or two years into a baby's life before it is obvious that anything is different or wrong. In many cases, parents realize that their child needs help when he or she doesn't appear to reach developmental milestones, such as crawling or walking, as quickly or easily as other babies.
But when a diagnosis is made, it's important to get help and get informed. One of the first and most important things you can do is educate yourself about cerebral palsy. If you suspect malpractice for any reason, contact a legal professional.

It is possible to get answers. For example, using fetal heart monitor strips, a neuroradiologist may be able to determine when during a birth brain damage occurred. However, birth injury cases are difficult, and in many instances it will be impossible to tell for sure what is behind a specific case. But it is important to try.

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Advantages of Stem Cell Treatment For Cerebral Palsy


If you're a parent of the child with cerebral palsy, most likely you'd a single thing for any cure or at best cure that helped your son or daughter. You may even consider stem cell therapy for cerebral palsy. It's frustrating as well as heartbreaking to look at a young child who's not able to walk or move like normal children and perhaps not able to even talk or eat as a result of condition like CP.
Advantages of Stem Cell Treatment For Cerebral Palsy

Scientific studies are in an in history high as scientists and also the medical community visit a treatment or remedy for cerebral palsy. This is when stem cell therapy originates about. Advancements in research over past years came quite a distance which is now thought to assist with a variety of conditions, CP included. Many parents are going for in order to save their baby's umbilical cord at birth for possible stem cell use within the near future. Some parents of CP youngsters are considering stem cell therapy being an option but it's unavailable in most countries or regions of the planet. It has many parents visiting other countries simply to give their kids the chance to do this treatment.
Stem cell treatments are one strategy to CP that may be considered before you are making any kinds of decisions such as this, you should know how the therapy works and what it really entails. Learning the stem cell facts can help you know how laser hair removal might be a choice for you personally or perhaps your child.
These cells would be the basic foundations in our bodies. Everyone has them from birth. Actually, they're in each and every multi-cellular organism and they're also distinguished in the other cells simply because they have two qualities which make them unique. They are able to renew themselves by growing into various kinds of cells based in the body and they've a chance to copy themselves continuously.

Adult cells are utilized today for research but it's thought that embryonic cells could be probably the most potent. For this reason many parents are saving and banking their babies' umbilical cord stem cells for future use. If you're a parent of the CP child and also you saved their umbilical cord cells, these could be utilized in treatment. Otherwise, you will have to search for donor cells that are usually from donor banks.

If you're even considering this method, it is extremely essential that you research and select a great bank and make certain you realize where these cells are originating from. Some parents are extremely eager for a remedy that they'll hop on any idea. While stem cell scientific studies are coming quite a distance, will still be vital that you get the contract details before considering laser hair removal.


The advantages of stem cell therapy for cerebral palsy might be large. Should you or perhaps a family member is affected with this problem, it's really worth being familiar with it to try and determine whether it's a good treatment source that you should consider. Make certain you get the contract details prior to making a large decision such as this for the CP patient.

Monday, October 26, 2015

TYPES OF Cerebral Palsy


There are four main types of Cerebral Palsy, each caused by whichever area of the brain is affected and extent of the damage. The types are generally classified according to how the muscles function, but no two people have exactly the same disability.
Spastic Cerebral Palsy
The most common type of CP. Spasticity means stiffness or tightness of muscles. This is most obvious when the child or adult tries to move.
Athetoid Cerebral Palsy
Athetoid or athetosis is the term used for uncontrolled movements. This lack of control often leads to erratic movements when the child or adult starts to move.
Ataxic Cerebral Palsy
The least common type of cerebral palsy. Ataxic (or ataxia) is a term used to describe a lack of balance and coordination. It often presents as unsteady, shaky movements called tremors. Difficulties with controlling the hand and arm during reaching (overshooting or past-pointing) and problems with the timing of motor movements are also seen.
Mixed Type Cerebral Palsy

This term is used when more than one type of motor pattern is present and no one pattern is predominate.

How To Avoid Epilepsy


Seizures are disruptions in normal brain activity that produce a change in attention or behavior, ranging from zoning out for a few seconds to convulsions that may go on for several minutes and can lead to injuries if they cause a person to fall or flail about.
Seizures can have an obvious cause, like a blow to the head or a stroke, or they may seem to occur from out of the blue.
“Epilepsy has traditionally been defined as an illness that has resulted in two or more epileptic seizures,” says Dileep Nair, MD, an epileptologist at the Cleveland Clinic. But there’s also more to consider, he says, such as how much time has elapsed between seizures, what additional symptoms have occurred, what test results determine, and other factors that could provoke seizures, such as medications, fevers, and imbalances in electrolytes. It's also important to be sure that the symptoms thought to have been caused by an epileptic seizure are not due to some other cause, such as low blood pressure, migraine headaches, or cardiac problems.

Risk Factors for Epilepsy and Seizures
According to the World Health Organization, 10 percent of the population across the world will experience a seizure in their lifetime, while nearly 50 million have epilepsy.
“Seizures are caused by abnormal electrical disturbances in the brain, which result in a variety of symptoms including abnormal sensations, loss of consciousness, abnormal movements, and convulsive movements,” Nair says.
It’s important to distinguish between risk factors and causes. “Causes for epilepsy include abnormal collections of neurons, scarring in the brain, blood vessel abnormalities, brain tumors, and genetic factors, as well as many other conditions,” he says. “Risk factors for seizures include febrile seizures (seizures associated with episodes of high fever), family history of seizures, head trauma, infections of the brain, developmental delay, perinatal complications, and stroke.”
Other conditions associated with an increased risk for seizures include:
Diabetes
Phenylketonuria (PKU), a rare birth defect
Congenital metabolic disorders (doctors call these “inborn errors of metabolism”)
Metabolic abnormalities resulting from liver or kidney disease
Deficiencies of certain nutrients, such as niacin (vitamin B3)
Infections of the brain, such as meningitis or encephalitis
Some, but not all, forms of epilepsy are strongly linked to genetics, Nair says. “By knowing the specific seizure types that a patient is experiencing and reviewing findings from EEG (recordings of brain waves), physicians can sometimes differentiate genetic epilepsies from other types,” he says. About two to five of every 100 children born to parents with epilepsy will develop the disorder, according to the British Epilepsy Association.
Babies who are born with cerebral palsy or who experience seizures within the first months of life are also thought to be at increased risk. In the majority of cases, however, the cause of epilepsy in children remains unknown.
Many effective drugs and other kinds of treatments are available to help control seizures. But many factors can interfere with that control and increase seizure risk, including:
Lack of sleep
Missed doses of epilepsy medications
Use of recreational drugs or alcohol

Use of certain prescription medications, such as some antibiotics, antidepressants, and drugs used for treating asthma

Genes May Raise Risk of Cerebral Palsy


Genes may play a role in cerebral palsy, the most common cause of physical disability in children.
Genes May Raise Risk of Cerebral Palsy

Previous research has identified several pregnancy-related risk factors, including preterm delivery, abnormal growth, exposure to infection and lack of oxygen at birth. A possible family link with cerebral palsy has also been found, but not confirmed.
Cerebral palsy affects your ability to move, and alters your balance and posture.
In this study, researchers analyzed data from more than 2 million births in Norway between 1967 and 2002. They identified more than 3,600 cases of cerebral palsy, or 1.8 cases for every 1,000 children born during that period.
Several Professors at Northwestern’s Feinberg School of Medicine and researchers at Children’s Memorial Research Center have identified a gene that may raise the risk of cerebral palsy in children who have suffered early-life brain injury.
According to the study, children who have E4 allele of the Apolipoprotein E (APOE) gene are more susceptible to developing cerebral palsy after injury to the brain. Furthermore, scientists also found that the gene is linked to the heightened risk of Alzheimer’s disease in adults.
“If a baby is born with an E4 allele, then if they undergo some kind of perinatal brain injury, they are more likely to develop cerebral palsy,” said Mark Wainwright, a professor of pediatric neurology at Feinberg. “The gene isn’tcausing the cerebral palsy. It’s making you at greater risk to develop it, but another injury is needed.”
Every person has at least two of the three alleles of the APOE gene, which aids in the production of apoE protein. This protein is also involved in brain repair. However, E4 forms a protein that is less likely to help regulate brain swelling after an injury. So people with E4 have an increased likelihood of sustaining permanent brain damage following an injury.
Knowing this, researchers analyzed the APOE gene in 209 young children with cerebral palsy and compared it against the protein in healthy children of the same race, gender, and ethnicity. They concluded that children with E4 allele who suffer injury to the brain are more likely to develop cerebral palsy.

“A majority of times we don’t know what causes cerebral palsy,” said professor of pediatrics Maxine Kuroda. The findings in this study could help physicians identify which children are susceptible to developing the condition after a brain injury.

Sunday, October 25, 2015

Occupational Therapy cerebral palsy


Occupational therapy helps people develop or recover the skills needed to lead independent, satisfying lives. The “occupation” in occupational therapy does not refer to one’s profession. Rather, it refers to the everyday activities that give life meaning. For a child, those activities are playing and learning. Pediatric occupational therapy focuses on improving the child’s ability to play and learn, which are important for development and becoming independent.
For children with cerebral palsy, occupational therapy can help with muscle and joint coordination issues—issues that can make everyday tasks difficult. Some of these tasks include eating, brushing teeth and bathing. Occupational therapy can help to improve physical, cognitive and social abilities, as well as fine motor skills and posture. This therapy can also help address difficulties with feeding, swallowing and processing sensory information.

Benefits of Occupational Therapy cerebral palsy
Occupational therapy is beneficial for children with cerebral palsy in many ways. By optimizing upper body function and improving the coordination of small muscles like those in the hands, fingers, feet, toes and mouth, occupational therapy can help children with cerebral palsy master the basic activities of daily living.
Occupational therapy can help children by:
Increasing their chance for independence
Improving their ability to play and learn
Boosting their self-esteem and confidence
Helping them develop a workable routine
Giving them a sense of accomplishment
Improving their quality of life
Parents and caregivers spend a lot of time helping children with cerebral palsy perform basic day-to-day activities. As the child begins to see the benefits of occupational therapy, the parents and caregivers do, too.
For parents and caregivers, occupational therapy helps by:
Reducing the demand on them
Reducing stress
Providing a sense of security
Improving their quality of life
Allowing them to watch their child improve and become independent
Occupational therapy can help with the following issues related to each type of CP:
Spastic – Muscle stiffness in the upper and/or lower limbs and jerky movements characterize spastic cerebral palsy. Among other things, this can lead to difficulty getting dressed, bathing, using the bathroom, eating, drinking, writing and holding objects.
Athetoid – Children with athetoid cerebral palsy are unable to regulate muscle tone, which makes it difficult to control their movements. Trouble with grasping objects, posture, drooling, swallowing, and speaking are common among children with athetoid CP.

Ataxic – Problems with balance and coordination are common among children withataxic cerebral palsy. These children often struggle with precise movements and have tremors or shakiness. This makes it difficult to perform tasks like writing or eating that require precise finger movements, or repetitive movements like clapping.

Symptoms and Diagnosis of Cerebral Palsy

The symptoms of cerebral palsy normally become apparent during the first three years of a child's life.
The main symptoms are:
muscle stiffness or floppiness
muscle weakness
random and uncontrolled body movements
balance and co-ordination problems
These symptoms can affect different areas of the body and vary in severity from person to person. Some people will only have minor problems, whereas others will be severely disabled.
Many people with cerebral palsy also have a number of associated problems, including repeated seizures or fits, drooling problems and swallowing difficulties. Some people with the condition may have communication and learning difficulties, although intelligence is often unaffected.
Symptoms and Diagnosis of Cerebral Palsy

Diagnosing cerebral palsy
If you are concerned about your child's development, see your GP. They can refer you to a paediatrician (a doctor specialising in treating children), if necessary.
The paediatrician will ask about your child's medical history and their development. They will also study your child's reflexes, posture, movements and muscle tone.
Depending on your child's age, you may also be referred to an educational psychologist so your child's intellectual development can be assessed.
Tests and scans
Further tests may be recommended to rule out other problems with similar symptoms to cerebral palsy. These can include a general delay in development or a specific medical condition, such as muscular dystrophy (a group of inherited conditions that gradually weaken the muscles).
In some cases, further testing will also be able to confirm a diagnosis of cerebral palsy. This is because the condition can cause changes to the brain's structure, which can be detected by tests.
Tests your child may have include:
a magnetic resonance imaging (MRI) scan, which uses radio and magnetic waves to study the brain in more detail
an ultrasound scan, which uses sound waves to build up a picture of your child's brain tissue
a computerised tomography (CT) scan, which uses a series of X-rays that are then assembled by a computer to create a detailed 3-D model of your child's brain
an electroencephalogram (EEG), where small electrodes are placed on the scalp to monitor brain activity
an electromyogram (EMG), where muscle activity and the function of the peripheral nerves (the network of nerves that run from your brain and spinal cord to other areas of the body) is tested.
blood tests
In some cases, when a baby requires special care in hospital after being born, it may be possible for a confident diagnosis of cerebral palsy to be made relatively quickly. In many cases, however, a clear diagnosis is only possible after a few months or years of screening.

It may not be possible to determine the type and severity of your child's condition until they reach four or five years old.

Can stem cell treatment cure Cerebral Palsy?

Stem cell treatment is undoubtedly the most advanced technique for treating Cerebral palsy. The treatment could help a lot on the patients, whether from the walking, standing, speech, etc, on the patients. However, could the treatment be a cure for the patients? And can the patients with cerebral palsy return to normal life after stem cell treatment?

Whether can stem cell treatment curecerebral palsy? Cerebral palsy refers to a group of neurological disorders caused by brain injury or abnormal growth of brain. The injury of brain contribute to the clinical manifestations including limb stiffness, impaired speech, inability walking, high muscle tension, etc. In the novel stem cell treatment, it marks a great difference with standard therapies and mainly aims at repairing injury of cerebral cells, which is the root cause of cerebral palsy.

Though stem cells may help for replenishing new nerve cells that help improve brain function, the stem cell treatment is not likely a cure for cerebral palsy. It doesn't help for the patients to become healthy like normal people, but could improve patient condition from varying aspects, which could improve quality of life and help the families a lot.

What could stem cell treatment bring for patients with cerebral palsy? Stem cell therapy improves patients in different aspects. Based on the specific condition of patients, there are varying improvements. It has been observed stem cell therapy has therapeutic effects in reducing high muscle tension, improving standing, sitting and walking ability, speech, muscle strength and limb coordination, etc; in different age groups, though all patients are observed improvements, young children, especially those within three years, have the most satisfactory effects. The treatment is usually not suggested in patients with good motor function and speech, and only poor intelligence, because our Cells Center China find that the stem cell treatment is less effective in improving intelligence.


The above introduces can stem cell treatment cure Cerebral Palsy. The above is a general introduction. In clinic, the patient condition is more complicated so the guidance or therapy suggestion of patients should be based on clinical evaluation of patient condition combining their lab reports.

Tuesday, October 20, 2015

Causes of Cerebral Palsy

According to the United Cerebral Palsy Foundation, cerebral palsy is the most common congenital disorder in the entire country. In total, it affects around half-a-million children and adults throughout the country and another 16.5 million all over the world. Depending on the type they have, those who suffer from cerebral palsy can display a wide range of symptoms. Unfortunately, there is no known cure at this time, though many steps can be taken to make the disability more manageable. While there are a number of issues that can lead to cerebral palsy, understanding some of the most common causes are important for helping a child with the disorder.
Congenital Cerebral Palsy
Congenital cerebral palsy refers to the kind that is developed before birth or during the birthing process. According to the Centers for Disease Control and Prevention (CDC), this form is also the most common. It can be caused by the following:
Infections that Develop During Pregnancy: Infections like chicken pox, cytomegalovirus (CMV) and rubella can all increase the chances of an infant being diagnosed with cerebral palsy. These types of infections increase production of cytokins, which are proteins that work as receptors in the body. When they get released in large mountains, the brain of an infant can become damaged, leading to cerebral palsy. Pregnant women with urinary tract infections and/or high fevers can also run the risk of having children who develop cerebral palsy.
Twins, Triplets, etc.: The more babies born at the same time, the higher the risk of low birth weight, which can also lead to cerebral palsy.
Low Birth Weight: Infants who are born under five pounds are more likely to develop cerebral palsy, with those fewer than three pounds representing the most at-risk group. Premature babies are usually vulnerable too.
Infertility Treatments: Treating infertility often means having a premature baby with a low birth weight. Thus, these treatments can also lead to cerebral palsy.
Jaundice: While many people believe jaundice is a relatively benign issue, if left untreated, it could cause a number of serious problems, including cerebral palsy.
Birth Problems: Umbilical cord problems, placental problems, and uterine rupture may all lead to the disability’s development.
Incompatible Blood: Sometimes, an infant and its mother have incompatible blood types, which in turn can cause Rh factor diseases. If this is not caught in time and treated, the infant might develop cerebral palsy.
Chorioamnionitis: The presence of chorioamnionitis in the womb could increase the risk of cerebral palsy for an infant by up to four times.
Acquired Cerebral Palsy
If an infant experienced brain damage after 28 days of age, they could be diagnosed with cerebral palsy. However, this type accounts for less than 20% of cases.
Common causes include:
Low Birth Weight: Just like with the congenital version, low birth weight can be a cause of acquired cerebral palsy too.
Blood Flow Problems: Blood flow problems, like those caused by unformed blood vessels, clotting issues, heart defects, and sickle cell diseases can eventually lead to cerebral palsy.
Traumatic Head Injuries: If an infant is dropped, falls or is otherwise in an accident, cerebral palsy may result.
Brain Damage
One out of every 10 infants who go on to develop cerebral palsy suffered from asphyxiation during the birthing process. However, brain damage can also occur before birth too, which may also lead to the disorder.
High blood pressure and infections in the mother can also be the source of cerebral palsy. Any type of abnormal brain development might cause damage that would later grow into the disability too.
Medical Negligence
While it is true that many children develop this condition without any preventable reason, other times, it is because of medical malpractice. There are a number of reasons that can cause a baby can be afflicted with cerebral palsy such as mistreatment of infections, umbilical cord problems, and general medical malpractice to name a few.

Although thinking about cerebral palsy can be difficult for most parents, it is important to understand possible causes so you can best avoid them.

Hemiparetic and Hemiplegic Cerebral Palsy

Cerebral palsy can take on many forms. Due to the wide variety of types possible, the symptoms that characterize this disability are also very diverse. There are two types of cerebral palsy, hemiparetic and hemiplegic, share very similar symptoms, although they are different. With both forms, the result is a person who only has one side of their body affected by the disorder. Of the two, hemiplegic is the more serious version and involves complete paralysis of the side afflicted. Someone with hemiparetic cerebral palsy will only have mild paralysis on the side suffering from it and some muscle weakness.
What Causes Hemiparetic and Hemiplegic Cerebral Palsy?
Like all forms of cerebral palsy, hemiparetic and hemiplegic both have their origins in a brain injury. These two forms also account for roughly 60% of all those with cerebral palsy in the United States. Typically, they are diagnosed with the disorder before turning three.
According to the American Medical Association (AMA), a few risk factors are shared by those with the disability. These are:
Asphyxia during birth
Placental or maternal infection
Congenital heart disease
Mother and infant blood incompatibility
Infant stroke
In at least two thirds of the cases, infant stroke is to blame. Usually, this will cause a seizure in the infant within a few days of being born. However, there are many cases where the seizure’s effects are not noticeable until months after the birth or even years later.
Like we said earlier, children who have hemiparetic cerebral palsy are not completely paralyzed. It is either the right or left side of their body that suffers from general weakness. However, this can make it very challenging for the person to carry out everyday activities.
Children who have hemiplegic cerebral palsy have absolutely no use of one side of the body. This means their shoulder; arm, hand, leg and foot are all completely paralyzed.
Common Symptoms of Hemiplegic Cerebral Palsy
Each child will have different symptoms, which is typical of cerebral palsy. Some children may have all of the following traits, while others may only exhibit a few. Nonetheless, if you think your child may be suffering from cerebral palsy, keep an eye out to see if they:
Keep one hand balled in constant fist
Only use one hand when playing (this usually begins happening before the child turns three)
Face a delay in reaching developmental milestones
Have problems walking or keeping their balance when standing
Are extremely weak on one side of the body or experiences muscle stiffness
Other Conditions to Consider
Any injury in the brain can manifest itself throughout the body. Once again, your child could exhibit just one of the following conditions or many:
Difficulty concentrating, remembering or paying attention
Trouble organizing, planning and carrying out plans
Impaired vision or poor eye coordination
Irritability, emotional outbursts, mood swings or hyperactivity
Seizures right after birth or within a few months or years of being born
Treatment Options for Hemiplegic Cerebral Palsy
Unfortunately, there is no cure for any form of cerebral palsy. However, neither disorder is progressive. There are also a number of treatments that are available to help make life easier for those suffering from the disorder. These include:
Occupational therapy
Physical therapy
Seizure medication
Splints
Braces
Orthopedic surgery
Sensory integration
Many children who have hemiparetic or hemiplegic cerebral palsy are still able to attend traditional schools. However, they may need help with staying organized or taking on challenging subject matter.

This is why a lot of children with this type of cerebral palsy attend specialized classes with teachers who are equipped to help them meet their potential.

Drugs Treatment For Cerebral Palsy

This is no standard treatment plan or type of treatment for children with cerebral palsy. Depending on the conditions that caused the cerebral palsy, its symptoms can vary dramatically from person to person, and treatments must be customized individually. Although no treatment will repair the brain damage that caused the cerebral palsy or cure the condition, effective treatment from a variety of specialists can improve the person’s life and help them manage their condition as well as possible.
In general, the major goals of cerebral palsy treatment include:
Improve mobility and motor control
Provide increased independence and potential for self-care
Enhance ability to communicate and interact with others
Improve quality of life
Cerebral Palsy Specialists and Therapists
When a child has cerebral palsy, it is important that the family and the primary care physician develop a comprehensive treatment plan that will effectively address the primary conditions of their cerebral palsy, minimize pain and discomfort, and improve muscle control and independence. In order to do this, it is often necessary to receive help from multiple types of specialists and physical therapists who can provide exactly the type of attention, treatment, and care that the person requires. There are a number of different therapists that can provide effective treatment.
Physical Therapists: Of all of the types of treatments, physical therapy may be the most important, and those who are diagnosed with cerebral palsy will often begin physical therapy as early as possible. A physical therapist will work with the child to improve motor control, strength, and flexibility. Spasticity of muscles is often a serious problem for people with cerebral palsy, and though a physical therapist cannot completely solve this problem, he can help to reduce its effects.
Occupational Therapists: Whereas physical therapists help individuals with cerebral palsy learn how to better control their body in a general sense, an occupational therapist is more focused on improving strength and control of muscles for practical purposes. Occupational therapists focus on issues such as posture, mobility, writing and typing, and dressing. Occupational therapists can help improve a person’s ability to care for himself and increase his amount of independence.
Recreational Therapists: These therapists help children with cerebral palsy become more involved with sports, social activities, arts, and music. Those suffering from cerebral palsy may feel embarrassed or intimidated by participating in social events or taking on a hobby. This type of therapy can improve confidence and self-esteem.
Speech and Language Therapists: Some people with cerebral palsy have difficulties controlling their oral muscles which can prevent them from eating, swallowing, and speaking normally. Speech and language therapists can help children improve their speaking abilities and become more confident when communicating with others. In certain cases, they may also teach sign language and other alternative forms of communication.
Cerebral Palsy Drug Treatments

Depending on a person’s own condition and symptoms, drug treatments may be a helpful way to manage contractions, pain, and other issues. Some of the most common drugs prescribed to people with cerebral palsy include baclofen, diazepam, dantrolene sodium, and tizanidine. These treatments may help with spasticity, involuntary contractions, and stiffness.

Tuesday, October 13, 2015

Symptoms of Cerebral Palsy in Children

Cerebral palsy is a term which encompasses a set of neurological conditions that cause physical disability in human development - they affect the brain and nervous system. The word cerebral refers to the area in the brain that is affected, while palsy means complete or partial muscle paralysis, frequently accompanied by loss of sensation and uncontrollable body movements or tremors. Cerebral means related to the brain or cerebrum. Cerebrum is a Latin word meaning "brain; top of the head, skull". In the English language the cerebrum is the anterior (front) portion of the brain consisting of two hemispheres; it is the dominant part of the brain in humans.
There are some signs that may indicate a child has cerebral palsy. Not all signs are visible at birth and may become more obvious as babies develop.
Symptoms of Cerebral Palsy with Babies
Low muscle tone (baby feels ‘floppy’ when picked up)
Unable to hold up its own head while lying on their stomach or in a supported sitting position
Muscle spasms or feeling stiff
Poor muscle control, reflexes and posture
Delayed development (can’t sit up or independently roll over by 6 months)
Feeding or swallowing difficulties
Preference to use one side of their body
Symptoms of Cerebral Palsy with Toddlers/Children
Although the brain of toddlers/children with cerebral palsy remains injured, the injury does not get worse as they develop.
Depending on the level of severity of their cerebral palsy, toddlers and children may experience difficulties with their physical development such as:
not walking by 12-18 months
not speaking simple sentences by 24 months
If your child is not reaching these milestones or they display some of the signs of cerebral palsy, you may need to speak to your early childhood nurse, general practitioner or paediatrician.

In NSW, questions relating to developmental milestones are described in the Personal Health Record book (Blue Book) provided to families when their child is born.
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Saturday, October 10, 2015

World Cerebral Palsy Day 2015

World Cerebral Palsy Day is a social movement, of, by and for the CP community. Our vision is to ensure that everyone with CP has the same rights, access and opportunities as anyone else. Our campaign empowers you take action locally and, in doing so, help to build the global movement for change.



Cerebral palsy (CP) is the most common physical disability in childhood and is also one of the least understood. Doctors are reluctant to make a diagnosis, too many people receive ineffective therapies, too many individuals and their families lack access to basic information and support, too little money is being spent on research, and far too many societies keep people with CP out of sight, out of mind and out of options.
Take action
It is time to close the gap between the everyday circumstance and the real potential of people living with CP. Through World CP Day, we will join together to combine our resources, energy and knowledge. We will share our stories and best ideas.
We will tell the world … I AM HERE … WE ARE HERE
Local to global
The global impact of World CP Day will be measured by the local impact you can achieve. We will harness the incredible commitment and ingenuity of the CP community by:
Giving you the tools to take action in your town, city or country
Sharing success stories, so those solutions can be applied in other places
Reaching out to the broader community of people who passionately believe in the rights, access and opportunities for those with disabilities.
Six key areas for change
Six key areas are critical to our collective success. Our World CP Day community has told us that these issues are the biggest barriers for them, irrespective of where they live.
We encourage you to choose one or more of these issues for World CP Day and beyond – to champion for change, develop solutions or celebrate achievements.
Share your stories of challenge and triumph with us On the Map. Early next year we will showcase the best of them and ask the community to vote for the World CP Day Awards 2016.
Read more about these issues and some great success stories that are having local and global impact:
Public awareness
Putting an end to ignorance and the stigma it can create, by building a true understanding of what CP is (and is not). The objective is nothing less than to create cultural change so that everyone in a society embraces people with CP as brothers, sisters and full citizens.
Civil rights
Ensuring that government officials at the local, regional and national level will move beyond passing proclamations, and take concrete action to guarantee that our basic rights, our full citizenship and our individual opportunities are real and cannot be taken away.
Medical/Therapeutic
The very best information for the diagnosis, prevention and treatment of CP so doctors and therapists can make better decisions earlier in the process and provide everyone with CP the best possible assistance in living the fullest possible life.
Quality of life
The most useful advice, support and inspiration for our community, our families and others who help us. Not just to help each of us ‘survive’ the challenges, but to ensure we all thrive and can find enjoyment and fulfilment in life.
Education
Helping all educators create an experience that will encourage the broader community to embrace people with CP, and provide an education to members of the CP community that is equal to that of every other citizen of the societies in which we live.
Contribution
Each of us has a unique ability to contribute economically, artistically, socially and/or politically. Not being able to make that contribution is not just a matter of personal loss, it is a matter of robbing our entire society and culture of something that is essential to its ability to flourish.
Take action

Our Tools page has many different resources that you can download and start using right now, or customise for your local needs and issues.

Spastic Cerebral Palsy in 3 years Boy

Name: Hunrry
Sex: Male
Country: Mongolia
Age:3 years
Diagnosis: spastic cerebral palsy
Date:July 25, 2013
Before treatment:
The patient was born full term and had no abnormalities at birth. The patient suffered obvious stained yellow in skin and mucous at the 5th day after birth. He was sent to a hospital and received treatment. After treatment, the yellow stains disappeared. Then the patient suffered from epilepsy and dystonic disorders. The patient was diagnosed with cerebellar hypoplasia. After he received antiepileptic drug and muscle relaxant therapy, the patient developed discomfort. So the medications were stopped. He was diagnosed with cerebral palsy. Before the treatment, the patient had normal spirit and could understand simple language. He smiled or expressed anger to present his ideas. The hearing and vision were normal. He had poor control of head. He was unable to turn over, sit, stand or walk. He suffered from trunk rotation. From the onset of disease, the patient had normal nutrition, the sleep quality was good. He had semifluid diet. The defecation and urination were normal.
Admission PE:
BP: 88/56mmHg, Hr: 110/min, Br: 20/min. Temperature: 36.3 degrees. He suffered from developmental delay. The nutrition was almost normal. Height: 74cm, weight: 10 Kg. The skin and mucosa was intact, with no yellow stains or petechia. His lips and mouth was ruddy. The thorax was symmetrical. The respiratory sounds in both lungs were clear with no signs of dry or moist rales. The heart sounds were strong and cardiac rhythm was regular, with no obvious murmur. The abdomen was flat and soft, with no masses. There was no pressing pain or rebound tenderness. The liver and spleen were not enlarged.
Nervous System Examination:
The patient was alert. He suffered apraxia of speech. He could not cooperate with memory, orientation and calculation test. Both pupils were equal in size and round. The diameter was about 3.5 mm. Both eyes had sensitive reflex to light stimuli. Both eyes could move and follow objects. The movement of eyeballs was flexible. He had difficulty with the examination of cranial nerves. He had difficulty with chewing and ate semifluid diet. His swallow ability was normal. The muscle strength of neck was weak. The muscle tone of his four limbs was higher than normal. He couldn't cooperate with the examination of muscle strength. He could turn head in horizontal position. He had difficulty with raising head. He suffered from trunk rotating and trunk spasm. Both lower limbs had no activity. Sometimes, he had involuntary grasp. He couldn't turn over, sit-up, stand or walk. The patient suffered from flat foot. Both lower limbs had activity. With some assistance, the patient could stand, but both feet couldn't touch the floor. And both his lower limbs presented with scissors gait. The tendon reflex of his four limbs were not elicited (for the muscle tone was higher than normal). The abdominal reflexes were normal. Bilateral sucking reflex was negative. The Babinski sign was negative. He had difficulty with the examination of sensory system and coordinate movement. There was no meningeal irritation.
Treatment spastic cerebral palsy with stem cells:
The patient received treatment for nerve regeneration and to activate stem cells in vivo. He was given treatment to improve the blood circulation in order to increase the blood supply to the damaged nerves and nourishment for the neurons. This was combined with daily physical rehabilitation therapy.
Post-treatment:

The patient's height: 76cm. He cries less. The muscle tone of his whole body has reduced. The trunk rotating and trunk spasm is alleviated obviously. The grasp ability of both hands have improved. The muscle strength of both upper limbs, lower back and both lower limbs have improved. With some assistance, the patient can stand with both feet touching floor. With some assistance, the scissors gait is alleviated when he walks. With slight assistance, the patient can turn over.

Friday, October 9, 2015

Life Expectancy for Cerebral Palsy In Children

In the majority of cases, children with cerebral palsy have the ability to live long and quality lives. Of course, accomplishing this means more extensive medical care than the average person needs to undergo. The key to ensuring long-term quality of life for cerebral palsy patients is early intervention, which may include special education and other types of technological assistance. The amount of these services that are necessary will depend on the level of severity and will differ from child to child.
In order for children with cerebral palsy to enjoy a long and quality lifespan, there are a number of things that may be important, including physical therapy, visits to health care professionals, and maybe even surgery in some cases.
The severity of the child’s condition, as well as improper management of his or her symptoms, may put the child at risk for diminished life expectancy. Although cerebral palsy is not progressive (will not worsen over time), other associated conditions and factors that are not connected to the original brain injury may change over time and have an effect on the overall health and life expectancy of the patient.
Eight Factors That Affect Life Expectancy
While the length of time a cerebral palsy individual can live hinges on a variety of factors, the majority of individuals can expect a healthy lifespan contingent upon the following:
Proper management of life-threatening associative conditions.
Implementation of healthy medical care and support of lifestyle.
There are eight factors that generally contribute to a cerebral palsy patient’s life expectancy, which include:
The patient’s level of disability and impairments.
The severity of the patient’s condition.
Restrictions on the patient’s mobility.
Patient’s difficulty eating or otherwise receiving nutrition.
Presence of seizures.
Difficulty with cognitive functioning.
Visual acuity.
Problems with respiratory functions.

If you have a child who suffers from cerebral palsy, you may wish to speak to an experienced personal injury lawyer in order to review your potential legal options. Please feel free to call 0086 10 5621 1304 for a free consultation and evaluation or email us service@ekbwyy.com

Can cerebral palsy be treated with stem cells?


Mesenchymal stem cells from umbilical cord are considered to be universal donor cells because they are not immediately recognized as foreign. The cells home to damaged tissue and are known to secrete molecules called trophic factors.
Trophic factors from mesenchymal stem cells are known to stimulate repair of damaged nervous tissue in both the brain and the spinal cord. Some of these are neurotrophic factors that promote neuronal growth, induce new blood vessel growth, neurogenesis and astroglial activation, encourage synaptic connection and axonal remyelination, decrease programed cell death, and regulate microglial activation.
Mesenchymal stem cells stimulate brain repair after stroke1 and traumatic brain injury.
Animal studies show that mesenchymal stem cell can migrate into the brain and survive.
Because we utilize allogeneic cord tissue-derived mesenchymal stem cells, we are able to offer treatment to any qualified patient, not just those who saved their own cord blood at birth. We will discuss several additional advantages of allogeneic cord-derived stem cells below.

There is evidence to support that bone marrow-derived mononuclear cells are safe and improve the quality of life in children with neurological disorders including cerebral palsy.

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Monday, October 5, 2015

Cerebral Palsy Facts and Statistics

Cerebral palsy is a group of disorders that affects a persons brain (cerebral) and the way that they use their muscles (palsy).
Children with cerebral palsy can sometimes have very mild symptoms, such as being a little clumsy when they run. Others may have more severe symptoms, such as not being able to walk at all.
Cerebral Palsy Facts and Statistics

Cerebral Palsy Facts
Children with cerebral palsy typically are delayed in meeting developmental milestones, such as holding their head steady, rolling over, crawling, sitting up, standing with support, or walking.
Cerebral palsy can be caused by a number of different things during pregnancy or a baby's first year of life, including infections, pregnancy problems, severe jaundice (kernicterus), child abuse, strokes, head injuries, and genetic disorders.
Premature babies and multiple births (twins, triplets, etcs.) are at increased risk for cerebral palsy.
Some causes of cerebral palsy, such as from kerniterus and most head injuries, can be prevented. Adequate prenatal care and early recognition and treatment of infections may also help to prevent cerebral palsy.
The Apgar score can not predict if a child will have cerebral palsy.
There is no cure for cerebral palsy.
Cerebral palsy does not worsen over time and symptoms often get better with physical therapy, occupational therapy, and other treatments.
Cerebral Palsy Statistics
Cerebral palsy affects about 1 in 278 children.
There are about 764,000 children and adults in the United States with cerebral palsy.
Each year, about 8,000 babies and infants are diagnosed with cerebral palsy.
Half of people with cerebral palsy use assistive devices, including braces, walkers, and wheelchairs, to help them be more mobile.

About 30% of children with cerebral palsy have seizures.

Acupuncture & Chinese Herbs Treatment of CerebralPalsy

Because standard care for cerebral palsy may not always produce the desired results, some patients turn to alternative therapies in the treatment of this condition. The most frequent cause of childhood disability in the United States, cerebral palsy constitutes a group of disorders that affect the patient's ability to coordinate body movements. While no type of alternative therapy has been extensively studied for its effects on cerebral palsy, some research suggests that acupuncture holds promise in treatment of certain symptoms and complications.
Spasticity is a dysfunction of the muscles which is hard to control. Acupuncture is probably one of the most effective methods to improve the spasticity.
With isolated paralysis of single body parts (for example: hand or foot paralysis), the stimulation with electric acupuncture is very effective.
Equilibrium
Speech: Usually takes a long time. Generally it leads to an extended vocabulary and improves the articulation.
Reduction of epileptic attacks: This can not be succeeded with every patient. In comparance to the western medical treatment, the progress achieved by Chinese Medicine usually remains constant, as the western medicine does only suppress the attacks currently and does not fix the cause, and as soon as the intake of the medicine is discontinued, often the attacks will come back.
Mental retardation: Often the parents report a cognitive improvement (more awake and alert). Despite the fact that such an improvement of course reaches its limits, it is still impressive that one can have an impact on it.

Chinese Medicine applied on children with cerebral palsy, is a very effective form of therapy (if not the most effective!). Unfortunately this method is still rarely used. Based on positive experiences, it is Heiner Janssen`s request, to make Chinese Medicine accessible to more patients with neurological disorders in the near future. This mean of therapy harbours a great (unfortunately rarely unutilised) room of improvement.
Therapy of Cerebral Palsy
Physical Therapy (PT) aims to help people achieve their potential for physical independence and mobility. PT includes exercises, correct positioning and teaching alternate ways of movement such as using walkers, bracing or handling a wheelchair.
Occupational Therapy (OT) designs purposeful activities to increase independence through fine motor skills. OTs help children to use adaptive equipment for things like feeding, seating and bathroom aids.
Speech Therapy aims at improving communication. A child may only need help to overcome a slight articulation problem, or she may not be able to communicate verbally and may require a non-verbal communication system.
Music Therapy uses music for the treatment of neurological, mental or behavioural disorders.
Although a condition does not progress, the brain injury is permanent. While cerebral palsy is not ‘curable’, training and therapy can help significantly. ‘Management’ is a more accurate word than ‘treatment’. Management consists of helping a child achieve maximum potential in growth and development.

People with cerebral palsy can go to school, have jobs, get married, raise families and live in their own homes. Most of all, people with cerebral palsy need the opportunity for independence and full inclusion in our society.

Sunday, October 4, 2015

Risk Factors of Cerebral Palsy

Cerebral palsy occurs in approximately 1.2 to 2.5 of every 1,000 infants born alive. Many factors—such as premature birth and serious illnesses—increase an infant’s risk of developing cerebral palsy. In some cases, infants who are born at normal weights and experience no known brain injuries still develop cerebral palsy.
Risk Factors of Cerebral Palsy

Premature Birth and Low Birth Weight
A normal pregnancy lasts 40 weeks. Babies born before 37 weeks have a greater risk of developing cerebral palsy. The risk increases the earlier a baby is born. Twins and other multiple birth siblings are at particular risk because they tend to be born earlier and at lower birth weights.
The outlook for infants born prematurely or at low birth weights has improved considerably in recent years. Today, many premature infants survive—and new treatments have lowered the incidence of cerebral palsy among them to between 30 and 40 percent.
Serious Illness, Stroke or Infection in Baby
Infants who experience serious illnesses, strokes or seizures around the time of birth are at greater risk of developing cerebral palsy. Such illnesses might include:
Severe jaundice (kernicterus)
Seizures during the 48 hours after birth
Infections of the brain, such as meningitis or encephalitis
Strokes caused by broken or clogged blood vessels or abnormal blood cells
Serious Illness, Stroke or Infection in Mother
Cerebral palsy is more common in children whose mothers:
Experience certain viral and bacterial infections and/or high fevers during pregnancy
Have coagulation (clotting) disorders or experience blood clots during pregnancy
Receive excessive exposure to harmful substances during pregnancy
Have thyroid problems, seizure disorders or other serious health concerns
Pregnancy and Birth Complications
Complications of pregnancy and birth—including inadequate nourishment through the placenta or a lack of oxygen during labor and birth—are associated with an increased risk of cerebral palsy. Cerebral palsy also is more common when babies and mothers have incompatible blood types (the mother is Rh positive and the baby is Rh negative, or vice versa).
Genetic and Developmental Problems

Some cases of cerebral palsy are genetic. Genetic conditions can affect development of the brain or other vital organs, such as the heart. Infants with genetic and developmental problems are more likely to develop cerebral palsy.

How do you know if your baby has CP?


CP can be different in each child. Some children have mild CP. They may have some awkward body movements and need little or no special help. Other children have more serious CP. They may need a lot of special care their whole lives. CP doesn’t get worse over time, but its symptoms can change.
Some but not all babies with CP often have developmental delays. This means your child doesn't reach developmental milestones when expected. A developmental milestone is a skill or activity that most children can do at a certain age. Milestones include sitting, walking, talking, having social skills and having thinking skills. Tell your child’s health care provider if you notice any of these signs in your baby at these ages:
How do you know if your baby has CP?

Younger than 6 months
His head falls back when you pick him up from lying on his back.
He feels stiff or floppy.
He seems to push away when you hold him.
His legs get stiff legs and cross or “scissor” when you pick him up.
Older than 6 months
He doesn't roll over.
He can’t bring his hands together.
He has trouble bringing his hands to his mouth.
He reaches with only one hand while keeping his other hand in a fist.
Older than 10 months
He crawls by pushing off with one hand and one leg while dragging the other hand and leg.
He scoots around on his bottom or hops on his knees, but does not crawl on all fours.
Older than 1 year
He can’t crawl.
He can’t stand up with support.
If you think your baby has developmental delays or other signs of CP, talk to her provider. Diagnosing CP usually happens in three steps.
Developmental monitoring. Your baby’s provider checks her growth and development over time. If your baby shows signs and symptoms of CP, her provider recommends developmental screening.
Developmental screening. These tests check for developmental delays, like problems with movement. The American Academy of Pediatrics recommends that all children have developmental screening tests during their well-baby visits at 9 months, 18 months and 24 or 30 months.
Developmental and medical evaluations. If results of your baby’s screening tests aren't normal, your baby’s provider recommends developmental and medical evaluations. These can be done by your baby’s provider or by a child neurologist. This is doctor with special training in treating brain conditions in babies and children.
Your baby’s provider also may recommend these tests for your baby:
Blood tests
Computed tomography (also called CT scan). This test uses special X-rays to make a picture of your baby’s brain.
Electroencephalogram (also called EEG). This test records electrical activity in your baby’s brain. It can help diagnose epilepsy, which sometimes happens in children with CP. Epilepsy is a seizure disorder that affects how the nerve cells in your brain work.
Magnetic resonance imaging (also called MRI). This test uses radio waves and magnets to make a picture of your baby’s brain.

Ultrasound. This test uses sound waves to make a picture of your baby’s brain.

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Raise Risk of Cerebral Palsy

Cerebral palsy (CP) is a disorder that affects muscle tone, movement, and motor skills usually caused by brain damage before, or during a child's birth, as well as in its developmental years. CP is a non-degenerative condition that affects about three children per 1,000 births, and currently there is no cure. The effects of CP can be as mild as a minor limp, but the worst cases usually include paralysis of the legs or hands, speech impairment, and sometimes mental retardation. However, many people live successful lives with this condition, spreading awareness about living well with CP.
Raise Risk of Cerebral Palsy

If one child in a family had cerebral palsy, full siblings who were born later had a six to nine times increased risk, and half siblings had up to a three times increased risk. Children born to parents with cerebral palsy were 6.5 times more likely to have the condition than those born to unaffected parents.
Even first cousins of people with cerebral palsy had a 1.5 times increased risk, according to the findings in The BMJ. It's the first study to examine cerebral palsy over such a wide range of family links.
"Our data suggest that cerebral palsy includes a genetic component, with a stronger recurrence among relatives with closer genetic relationship," the researchers wrote.
When a child is born with cerebral palsy, parents want to know whether they did anything to cause the condition, and whether it may recur in other children or grandchildren, pediatrician Dr. Peter Rosenbaum wrote in an accompanying commentary.
He noted that the search for the causes of cerebral palsy is "far from over," but added that even family members with a 15 times increased risk have a small actual risk of the condition.

"This information should provide some reassurance to families in which cerebral palsy is already present," Rosenbaum concluded.

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