Cerebral palsy or cerebral palsy is a neurological disorder that interfere with or influence the coordination and body movement . This condition is the result of problems on the part of the cerebrum. Cerebral palsy is one of the most common causes of chronic disability in children .
The severity of the symptoms of cerebral palsy vary for each sufferer. There are only experiencing mild symptoms , to severe. Usually the symptoms of cerebral palsy will begin to appear during the first three years of a child's life .
Here are some of the symptoms of cerebral palsy related to problems of coordination and body movement.
Parts of the body are affected by cerebral palsy vary. There are only about one side of the body, the legs alone, arms, or legs at once arm. In addition to problems of coordination and body movement, cerebral palsy can also cause some of the symptoms of other neurological disorders, including:
- Muscle coordination problems.
- Stiff muscles with reflexes that are normal or excessive.
- Muscle tone becomes very rigid or very weak.
- Writhing movements and slow.
- Uncontrollable movements or tremors.
- Difficulties in making the right movement, for example, putting an object at a given position.
- One side of the body looks like is not working, for example, dragging one leg when crawling, or can only achieve something with one hand.
- Babies stunted motor skills such as crawling or sitting.
- Inhibition of speech.
- Gait abnormalities, such as walking rather squat, legs crossed, or wide open.
- Difficulty in eating and swallowing.
- Continually salivate.
See your doctor if you are concerned about your child's development. Physician or specialist will help identify the problems experienced by the child.
- Convulsions.
- Intellectual disability.
- Mental disorders.
- Unable to hold urine or urine inconsistencies.
- Feel pain when touched.
- Impaired vision and hearing.
The cause of cerebral palsy
There is a problem in the large brain that coordinates movement, ability to listen, speak, and learn the causes of cerebral palsy. This problem can occur before or after the baby is born, and thought to be triggered by the following factors.
The diagnosis of cerebral palsy
- Infections experienced by the mother during pregnancy that can be transmitted to the fetus. For example chickenpox, rubella, syphilis, toxoplasmosis parasite infections, and cytomegalovirus infection.
- Disruption of the blood supply that is useful for the development of the fetal brain or stroke is also known as a fetus.
- Infection in the baby's brain after birth, such as jaundice severe and can not be cured, encephalitis, or meningitis.
- Severe head injury due to falls or other accidents.
- Lack of oxygen supply to the baby during birth.
- Premature birth, namely in gestational age less than 37 weeks.
- A breech birth.
- The case of twins. Rahim filled simultaneously by more than one baby can cause problems. If the death occurred on one of these babies, then there are opportunities for other babies to be exposed to cerebral palsy.
- Low infant weight at birth, which is less than 2.5 kilograms.
- Changes in genes that play a role in brain development.
Detecting cerebral palsy in infants are usually difficult to do. This is because the tendency of infants to suffer from more than one disease and the symptoms can vary in the first years of life. Even in some cases, the diagnosis of cerebral palsy positive results can only be obtained after passing the examination for several months or years, and severity normally only be known after the child aged four to five years.
A child suspected of suffering from cerebral palsy, but will be evaluated symptoms and medical history, will also undergo a medical examination Several types of tests are usually used to detect changes in brain structures that cause cerebral palsy, among them:
In addition through these tests, detection of the symptoms of cerebral palsy, such as intellectual disability, impaired speech, hearing, vision, or movement disorders can also be done by specialists concerned.
- Electroencephalogram (EEG). Through this test brain activity can be monitored with the help of electrodes placed on the scalp.
- CT scan, a test is performed to produce images of the brain in detail with the aid of X-rays and computer.
- MRI Scan. The same function tests such as CT scans, but the difference MRI scan uses magnetic and radio waves.
- Ultrasound, namely brain tissue imaging using sound waves.
- Blood tests. Through tests conducted in the laboratory, it can be known whether the child has a blood clot that refers to a brain stroke that paralyzed or have metabolic problems and genetics.
Treatment of cerebral palsy
Cerebral palsy is a condition that can not be cured. Even so, some types of treatment available today has been able to reduce most of the symptoms. The type of treatment the doctor usually varies, depending on the symptoms experienced by patients with cerebral palsy, one is to use drugs.
The drugs are usually given to patients who experience muscle stiffness. Several types of these drugs are:
Besides drugs, various forms of therapy is also needed to cope with the symptoms of cerebral palsy, among them:
- Diazepam. These drugs are usually given in cerebral palsy patients in need of treatment to react fast and short term to relieve their symptoms of muscle rigidity. Some possible side effects after taking diazepam is confused, forgotten, lost coordination, dizziness, slurred as he spoke, and drowsiness.
- Tizanidine and dantrolene. Both drugs are used if diazepam does not succeed in loosening the muscles. However, users should be careful because the two drugs have the potential to cause liver damage. In addition, other side effects like diazepam.
- Botulinum toxin. This injectable form of the drug is given to patients who suffered cerebral palsy rigid in certain muscles or even several muscles in the body. To be effective, the provision of botulinum coupled with therapy, for example, physiotherapy or a stretching program. Efficacy or effect of botulinum can survive up to a month and a half. In some cases, repeated injections can also be performed. It is rare, botulinum can cause dangerous side effects, including shortness of breath and difficulty swallowing. It is advisable to immediately go to hospital if side effects appear.
- Botulinum toxin. These drugs like diazepam, but was used in the long term. Some side effects that may arise from the use of baclofen is lost coordination, diarrhea, constipation, nausea, and drowsiness.
- Anticholinergic drugs. These drugs can be given to patients experiencing symptoms difficult to control the release of saliva. Anticholinergic works by decreasing the production of saliva in the body.
Forms of cerebral palsy symptoms handling the third is with surgery.
- Physiotherapy. Treatment is done with the guidance of an expert has two goals, the first is to prevent muscle movement distance is reduced or lost altogether. And the second goal is to prevent the muscles that are rarely used by the patient became increasingly weak.
- Occupational therapy. In this therapy, experts will examine any difficulties experienced by patients everyday, such as dressing or going to the toilet. Once the problem is identified, then the experts will help patients overcome these difficulties. This therapy is quite successful in encouraging patient independence.
- Speech therapy. As the name implies, this therapy is intended for patients who have symptoms of cerebral palsy have difficulty speaking. In this therapy, the child will be trained to communicate with tools such as computers or symbols that represent an object.
- Biofeedback therapy. This therapy is aimed at patients who have difficulty controlling saliva. Through this method, the patient will be trained to know the conditions under which they would salivate, once trained to swallow.
One of the symptoms of cerebral palsy-more important to address, especially in children, is a symptom of difficulty in swallowing or dysphagia. If dysphagia is still relatively mild, it can be treated by administration of soft foods. Or, if necessary, you can enlist the help of a therapist related to teach your kids the techniques in swallowing food.
- Orthopedic surgery. If the cause cerebral palsy patients experience pain while moving, this procedure will likely be recommended. Forms of action taken for instance is to fix the problems that occur in the joints and bones by extending tendons or muscles that are too short. In patients who had orthopedic surgery should also undergo physiotherapy so that the effects of these operations can be felt to the fullest. The operation procedure can also be applied to address other symptoms of cerebral palsy, such as scoliosis or conditions that make the spine curving abnormally.
- Channel switching operation salivary glands. Through this procedure, the salivary duct leading to the front of the mouth changed into towards the back of the mouth. This operation is intended for patients who have difficulty controlling their saliva.
If dysphagia is severe, then the installation tools should be eating. Usually this tool shaped like a hose and piped directly into the stomach of patients through the nose, throat, or directly into their abdominal wall through surgery.
Complications of cerebral palsy
Actually, cerebral palsy is not a disease or condition that develops over time. That is a problem in the brain will not deteriorate as they age. But as growth, problems of physical and emotional stress could be on the increase.
Usually the risk of cerebral palsy sufferer of depression will increase as he grows up. Therapy treatment, care of the family, as well as exchange ideas and experiences with fellow patients with cerebral palsy, is expected to overcome these feelings of depression.
In addition to psychological problems, people with cerebral palsy are also at risk for other problems related to the physical. This complication generally occurs due to limited or difficult patients to be able to move normally and freely. As a result the load, pressure, and energy must be spent patient to perform an activity greater than that experienced by normal people. One risk of physical problems experienced by people with cerebral palsy arthritis is osteoarthritis.
Therefore, if you suffer from cerebral palsy, use mobility aids, such as wheelchairs. In addition to tools, doing regular physiotherapy can also help.
Complications can also arise if the patient experienced symptoms of cerebral palsy difficulty swallowing food and always salivate. The food was not swallowed properly risky to go into the lungs and cause pneumonia. While the release of saliva that are not controlled, it can irritate and cause infection in the area around the mouth, chin, and neck.
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