Cerebral palsy

v.djabatey
Mind Map by , created almost 6 years ago

paeds-community paeds and psychiatry Mind Map on Cerebral palsy, created by v.djabatey on 01/10/2014.

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v.djabatey
Created by v.djabatey almost 6 years ago
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Cerebral palsy-clinical presentation
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Cerebral palsy
1 definition
1.1 abnormality of movement & posture
1.1.1 -> activity limitation
1.1.2 caused by non-progressive disturbances that occurred in the fetal/infant brain
1.1.2.1 i.e. static underlying cause
1.2 brain injuries occurring up to age 2 yrs

Annotations:

  • after age 2 yrs, use 'acquired brain injury' as term to describe diagnosis
2 motor disorder w/
2.1 disturbance of
2.1.1 cognition
2.1.2 perception
2.1.3 communication
2.1.4 behaviour
2.2 seizure disorder
2.3 secondary MSK probs
3 clinical manifestations emerge over time
3.1 though lesion non-progressve
3.1.1 motor disorder may evolve
3.1.1.1 so may seem like deterioration
4 epidemiology
4.1 commonest cause of motor impairment in kids
4.1.1 affects 2 per 1000 live births
5 diagnosis formulation includes
5.1 distribution of motor disorder
5.2 movement type
5.3 cause
5.4 any assoc impairment
6 causes
6.1 antenatal
6.1.1 80% of CP
6.1.2 vascular occlusion
6.1.3 cortical migration
6.1.4 structural maldevelopment of brain
6.1.5 genetic syndromes
6.1.6 congenital infection
6.2 perinatal
6.2.1 hypoxic-ischaemic injury
6.2.1.1 during delivery
6.2.1.1.1 10% of CP
6.3 postnatal
6.3.1 10% of CP
6.3.2 meningitis/encephalitis/encephalopathy
6.3.3 head trauma
6.3.3.1 accidental or not
6.3.4 symptomatic hypoglycaemia
6.3.5 hydrocephalus
6.3.6 hyperbilirubinaemia
6.4 in preterm infants
6.4.1 periventricular leucomalacia
6.4.1.1 secondary to ischaemia
6.4.2 severe intraventricular haemorrhage
6.5 MRI scan can ID
6.5.1 but not needed to diag
7 Mx
7.1 give parents details of diag asap
7.2 prognosis difficult during infancy
7.2.1 till severity & pattern of evolving signs and developmental progress becomes clearer w/ age
7.3 MDT approach

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