What is cerebral palsy?
Cerebral palsy is an umbrella term for the effects of damage to a developing
brain by various causes. It is connected with a range of symptoms, including
muscle weakness and movement problems. The damage to the brain usually occurs
early on in its development, either in the baby during pregnancy or during the
period soon after birth. Symptoms may include difficulties in walking, balance
and motor control, eating, swallowing, speech or coordination of eye movements.
Some people affected by cerebral palsy also have some level of intellectual
disability. No two people with cerebral palsy are affected in exactly the same
way.
What are the causes of cerebral palsy?
Cerebral palsy may arise during pregnancy, but can also be caused by
complications at birth, or following injury or illness after birth. It is often
difficult to pinpoint exactly what has caused the damage to the brain because
many different things can work together to create each person’s unique set of
symptoms, including:
Changes in the genes inside the brain’s cells can affect how the brain
develops
The brain can sometimes develop in an unusual shape or structure
Infections during pregnancy or physical injury can cause damage to the
brain
Complications of premature birth
Critical illness at birth (known as neonatal encephalopathy), which sometimes
causes a shortage of oxygen to the brain
Examples of cells found in the brain: Many different types of cells interact
to carry signals around the brain and between the brain and body. Cerebral palsy
is difficult to treat because it can involve damage to all of these types of
cells and their connections.
Stem Cells Therapy for Cerebral Palsy
Cerebral palsy is a group of brain diseases which produce chronic motor
disability in children. The causes are quite varied and range from abnormalities
of brain development to birth-related injuries to postnatal brain injuries. Due
to the increased survival of very premature infants, the incidence of cerebral
palsy may be increasing. While premature infants and term infants who have
suffered neonatal hypoxic-ischaemic (HI) injury represent only a minority of the
total cerebral palsy population, this group demonstrates easily identifiable
clinical findings, and much of their injury is to oligodendrocytes and the
cerebral white matter. While the use of stem cell therapy is promising, there
are no controlled trials in humans with cerebral palsy and only a few trials in
patients with other neurologic disorders. However, studies in animals with
experimentally induced strokes or traumatic injuries have indicated that benefit
is possible. The potential to do these transplants via injection into the
vasculature rather than directly into the brain increases the likelihood of
timely human studies. As a result, variables appropriate to human experiments
with intravascular injection of cells, such as cell type, timing of the
transplant and effect on function, need to be systematically performed in animal
models with HI injury, with the hope of rapidly translating these experiments to
human trials.
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