Cerebral palsy history and symptoms: Difference between revisions

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{{Cerebral palsy}}
{{Cerebral palsy}}


{{CMG}}; {{AE}}  
{{CMG}}; {{AE}} {{IQ}}
==Overview==
==Overview==
The majority of patients with [disease name] are asymptomatic.
A positive history of failure to meet the expected developmental milestones, failure to suppress the [[primitive reflexes]], [[intellectual disability]] or [[mental retardation]], [[visual]] or hearing problems, [[speech]] or language problems, and oromotor dysfunction is suggestive of cerebral palsy. The most common symptoms of cerebral palsy include abnormal [[muscle tone]]- early [[hypotonia]] followed by [[spasticity]], gross motor developmental delay, definite hand preference before age 1 year, failure to crawl, [[failure to thrive]] or [[growth failure]]. Less common symptoms of cerebral palsy may include [[hypotonia]] with decreased resistance to movement.


OR
==History==
Patients with cerebral palsy may have a positive history for the following findings:
* Failure to meet the expected developmental milestones
* Failure to suppress the primitive reflexes
* [[Intellectual disability]] or [[mental retardation]]
* Visual or hearing problems
* Speech or language problems
* Oromotor dysfunction
* Abnormal muscle tone- [[hypotonia]]/[[hypertonia]]
* Definite hand preference before age 1 year
* Asymmetric crawling or failure to crawl
* [[Failure to thrive]]- growth disturbance
* Complications associated with cerebral palsy such as:
** [[Pulmonary diseases]] such as recurrent [[aspiration]] and [[scoliosis]] <ref name="pmid11328476">{{cite journal |vauthors=Reddihough DS, Baikie G, Walstab JE |title=Cerebral palsy in Victoria, Australia: mortality and causes of death |journal=J Paediatr Child Health |volume=37 |issue=2 |pages=183–6 |year=2001 |pmid=11328476 |doi= |url=}}</ref>
** Orthopedic disorders <ref name="pmid12041941">{{cite journal |vauthors=Flynn JM, Miller F |title=Management of hip disorders in patients with cerebral palsy |journal=J Am Acad Orthop Surg |volume=10 |issue=3 |pages=198–209 |year=2002 |pmid=12041941 |doi= |url=}}</ref><ref name="pmid16757676">{{cite journal |vauthors=McCarthy JJ, D'Andrea LP, Betz RR, Clements DH |title=Scoliosis in the child with cerebral palsy |journal=J Am Acad Orthop Surg |volume=14 |issue=6 |pages=367–75 |year=2006 |pmid=16757676 |doi= |url=}}</ref>
** Urinary complications <ref name="pmid3656569">{{cite journal |vauthors=Decter RM, Bauer SB, Khoshbin S, Dyro FM, Krarup C, Colodny AH, Retik AB |title=Urodynamic assessment of children with cerebral palsy |journal=J. Urol. |volume=138 |issue=4 Pt 2 |pages=1110–2 |year=1987 |pmid=3656569 |doi= |url=}}</ref><ref name="pmid20579700">{{cite journal |vauthors=Silva JA, Gonsalves Mde C, Saverio AP, Oliveira IC, Carrerette FB, Damião R |title=Lower urinary tract dysfunction and ultrasound assessment of bladder wall thickness in children with cerebral palsy |journal=Urology |volume=76 |issue=4 |pages=942–5 |year=2010 |pmid=20579700 |doi=10.1016/j.urology.2010.04.005 |url=}}</ref>
** [[Osyteomalacia|Osteopenia]] <ref name="pmid10855654">{{cite journal |vauthors=Chad KE, McKay HA, Zello GA, Bailey DA, Faulkner RA, Snyder RE |title=Body composition in nutritionally adequate ambulatory and non-ambulatory children with cerebral palsy and a healthy reference group |journal=Dev Med Child Neurol |volume=42 |issue=5 |pages=334–9 |year=2000 |pmid=10855654 |doi= |url=}}</ref><ref name="pmid12093986">{{cite journal |vauthors=Henderson RC, Lark RK, Gurka MJ, Worley G, Fung EB, Conaway M, Stallings VA, Stevenson RD |title=Bone density and metabolism in children and adolescents with moderate to severe cerebral palsy |journal=Pediatrics |volume=110 |issue=1 Pt 1 |pages=e5 |year=2002 |pmid=12093986 |doi= |url=}}</ref>


The hallmark of [disease name] is [finding]. A positive history of [finding 1] and [finding 2] is suggestive of [disease name]. The most common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3]. Common symptoms of [disease] include [symptom 1], [symptom 2], and [symptom 3]. Less common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].
{|
 
! style="background: #4479BA; text-align: center;" |{{fontcolor|#FFF|Type of history}}
==History and Symptoms==
! style="background: #4479BA; text-align: center;" |{{fontcolor|#FFF|Specific history}}
*The majority of patients with [disease name] are asymptomatic.
|-
OR
! style="background: #DCDCDC; text-align: center;" |Prenatal history
*The hallmark of [disease name] is [finding]. A positive history of [finding 1] and [finding 2] is suggestive of [disease name]. The most common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].
| style="background: #F5F5F5;|
*Symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3]. 
*[[Prenatal]] exposure to:
===History===
** Illicit drugs
Patients with cerebral palsy may have a positive history of:
** [[Toxins]]
*Failure to meet the expected developmental milestones
** [[Infections]]
*Failure to suppress the primitive reflexes
* Maternal [[diabetes]]
*Intellectual disability or mental retardation
* Acute maternal illness
*Visual or hearing problems
* [[Trauma]]
*Speech or language problems
* [[Radiation]] exposure
*Oromotor dysfunction
* Prenatal care
*Abnormal muscle tone- hypotonia/hypertonia
* Fetal movements
*Definite hand preference before age 1 year
*Asymmetric crawling or failure to crawl
*Failure to thrive- growth disturbance
*Complications associated with cerebral palsy such as
**hhhh
{| class="wikitable"
!
=== Prenatal history ===
!
*Prenatal exposure to
**Illicit drugs
**Toxins
**Infections
*Maternal diabetes
*Acute maternal illness
*Trauma
*Radiation exposure
*Prenatal care
*Fetal movements
*Early frequent spontaneous abortions
*Early frequent spontaneous abortions
*Parental consanguinity
*Parental consanguinity
*Family history of neurologic disease
*Family history of neurologic disease
!
!
|-
|-
|
! style="background: #DCDCDC; text-align: center;" |Perinatal history
 
| style="background: #F5F5F5;|
=== Perinatal history ===
* [[Gestational age]] at birth
|
* Presentation of the child and delivery type
* Gestational age at birthPresentation of the child and delivery typeirthirthirth weight, Apgar score, and complications in the neonatal period
* Birth weight
|
* [[Apgar score]]
|
* Complications in the neonatal period
** [[Intubation]] time
** [[Intracranial hemorrhage]]
** Feeding difficulties
** [[Apnea]]
** [[Bradycardia]]
** [[Infection]]
** [[Hyperbilirubinemia]]
|-
|-
|
! style="background: #DCDCDC; text-align: center;" |Developmental history
=== Developmental history ===
| style="background: #F5F5F5;|
|
* Significantly delayed gross motor milestones
|
* Early hand preference  when <1.5 yr old
|
|-
|-
|
! style="background: #DCDCDC; text-align: center;" |Family history
|
| style="background: #F5F5F5;|
|
* [[Intellectual disability]]/[[developmental disabilities]]
|
* [[Seizures]]
* [[CP]]
* [[Neuromotor]]/movement disorders
* Neurobehavioral disorders
* Joint contractures/stiffness
* [[Thromboses]]/vascular accidents
* [[Congenital anomalies]]
* [[Infertility]]
* Recurrent [[miscarriages]]/stillborns
* Adult-onset neurodegenerative conditions
|}
|}


===Common Symptoms===
===Common Symptoms===
Common symptoms of [disease] include:
Common symptoms of cerebral palsy may include:
*[Symptom 1]
* Abnormal [[muscle tone]]- early [[hypotonia]] followed by [[spasticity]]
*[Symptom 2]
* Gross motor developmental delay
*[Symptom 3]
* Definite hand preference before age 1 year
* Failure to crawl
* [[Failure to thrive]] or [[growth failure]]


===Less Common Symptoms===
===Less Common Symptoms===
Less common symptoms of [disease name] include  
Less common symptoms of cerebral palsy may include:
*[Symptom 1]
* [[Hypotonia]] with decreased resistance to movement
*[Symptom 2]
*[Symptom 3]


==References==
==References==

Latest revision as of 16:38, 6 October 2017

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Iqra Qamar M.D.[2]

Overview

A positive history of failure to meet the expected developmental milestones, failure to suppress the primitive reflexes, intellectual disability or mental retardation, visual or hearing problems, speech or language problems, and oromotor dysfunction is suggestive of cerebral palsy. The most common symptoms of cerebral palsy include abnormal muscle tone- early hypotonia followed by spasticity, gross motor developmental delay, definite hand preference before age 1 year, failure to crawl, failure to thrive or growth failure. Less common symptoms of cerebral palsy may include hypotonia with decreased resistance to movement.

History

Patients with cerebral palsy may have a positive history for the following findings:

Type of history Specific history
Prenatal history
  • Prenatal exposure to:
  • Maternal diabetes
  • Acute maternal illness
  • Trauma
  • Radiation exposure
  • Prenatal care
  • Fetal movements
  • Early frequent spontaneous abortions
  • Parental consanguinity
  • Family history of neurologic disease
Perinatal history
Developmental history
  • Significantly delayed gross motor milestones
  • Early hand preference  when <1.5 yr old
Family history

Common Symptoms

Common symptoms of cerebral palsy may include:

Less Common Symptoms

Less common symptoms of cerebral palsy may include:

  • Hypotonia with decreased resistance to movement

References

  1. ↑ Reddihough DS, Baikie G, Walstab JE (2001). "Cerebral palsy in Victoria, Australia: mortality and causes of death". J Paediatr Child Health. 37 (2): 183–6. PMID 11328476.
  2. ↑ Flynn JM, Miller F (2002). "Management of hip disorders in patients with cerebral palsy". J Am Acad Orthop Surg. 10 (3): 198–209. PMID 12041941.
  3. ↑ McCarthy JJ, D'Andrea LP, Betz RR, Clements DH (2006). "Scoliosis in the child with cerebral palsy". J Am Acad Orthop Surg. 14 (6): 367–75. PMID 16757676.
  4. ↑ Decter RM, Bauer SB, Khoshbin S, Dyro FM, Krarup C, Colodny AH, Retik AB (1987). "Urodynamic assessment of children with cerebral palsy". J. Urol. 138 (4 Pt 2): 1110–2. PMID 3656569.
  5. ↑ Silva JA, Gonsalves Mde C, Saverio AP, Oliveira IC, Carrerette FB, Damião R (2010). "Lower urinary tract dysfunction and ultrasound assessment of bladder wall thickness in children with cerebral palsy". Urology. 76 (4): 942–5. doi:10.1016/j.urology.2010.04.005. PMID 20579700.
  6. ↑ Chad KE, McKay HA, Zello GA, Bailey DA, Faulkner RA, Snyder RE (2000). "Body composition in nutritionally adequate ambulatory and non-ambulatory children with cerebral palsy and a healthy reference group". Dev Med Child Neurol. 42 (5): 334–9. PMID 10855654.
  7. ↑ Henderson RC, Lark RK, Gurka MJ, Worley G, Fung EB, Conaway M, Stallings VA, Stevenson RD (2002). "Bone density and metabolism in children and adolescents with moderate to severe cerebral palsy". Pediatrics. 110 (1 Pt 1): e5. PMID 12093986.

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