Cerebral palsy is an abnormality of muscle and nerve function resulting from
an injury of the brain. It can be mild, minimally affecting coordination of one
hand. It can be moderate, allowing walking with limitations. And cerebral palsy
can be severe, affecting the ability to speak clearly and to move the arms and
legs, leaving a person dependent on a wheelchair. Associated developmental
disabilities, such as low intelligence quotient, seizures, unusual movements and
psychological problems, may occur as a result of the brain damage. Cerebral
palsy is present at birth or shortly thereafter, which may lead people to
question whether it is inherited as a genetic trait. However, it is caused by
damage to a baby's brain during the mother's pregnancy or during childbirth.
Brain damage that leads to cerebral palsy can be caused by a variety of
injuries. Any interference with normal growth and development of brain cells and
structure -- such as serious infections, extreme nutritional deficits or
unexplained fetal complications -- can be the root of cerebral palsy. Brain
damage resulting from a brief lack of oxygen to a portion of the baby's brain
during intrauterine development or during labor and delivery may cause cerebral
palsy. Pressure directly on the brain tissue can cause bleeding in critical
regions of the brain or altered growth, inhibiting normal functional
development. Conditions that cause bleeding or blood clots can result in a
stroke or heart attack of the fetus, resulting in brain damage that manifests as
cerebral palsy.
Risk Factors of Cerebral Palsy
Mothers who suffer from physical trauma or disease during pregnancy may be at
increased risk of harm to the baby, including the baby's brain. Labor and
delivery that involves extreme blood loss, dangerous changes in blood pressure,
severe fevers or seizures can result in high risk to the baby's brain. Severe
health problems or metabolic disorders in the mother, blood incompatibility
reactions, exposure to toxins or drugs of abuse, very low birth weight and
prematurity can increase the chances of cerebral palsy as well.
Prevention of Cerebral Palsy
Maintaining a healthy pregnancy and good prenatal care are the best ways to
minimize the risk of cerebral palsy. Mothers who have epilepsy, for example, are
advised to maintain proper seizure control during pregnancy to avoid seizures,
which may decrease optimal oxygen supply to the fetus. The most significant way
to lower the risk of cerebral palsy is to carefully monitor the mother's health
during labor and delivery and to effectively manage any complications. Avoiding
recreational drugs during pregnancy, especially cocaine, is an important way to
control the risk of cerebral palsy. Many cases of cerebral palsy are
unexplained, however, and might not have been preventable by the mother or
health-care providers.
Family Incidence for Cerebral Palsy
According to the May 2007 journal "Paediatric and Perinatal Epidemiology,"
there is a slightly increased incidence of cerebral palsy occurring among
siblings -- about 1.6 percent when compared to the general population. There is
no clear genetic explanation for this. It is very likely that the risk factors
that may have caused cerebral palsy in one child could be repeated in subsequent
pregnancies, causing this minimal increase in cerebral palsy incidence among
siblings.
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