473605
Descrição
Mapa Mental por v.djabatey, atualizado more than 1 year ago
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Criado por v.djabatey
quase 11 anos atrás
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Cerebral palsy
- definition
- abnormality of movement & posture
- -> activity limitation
- caused by
non-progressive
disturbances that
occurred in the
fetal/infant brain
- i.e. static
underlying cause
- i.e. static
underlying cause
- -> activity limitation
- brain injuries occurring
up to age 2 yrs
Anotações:
- after age 2 yrs, use 'acquired brain injury' as term to describe diagnosis
- abnormality of movement & posture
- motor disorder w/
- disturbance
of
- cognition
- perception
- communication
- behaviour
- cognition
- seizure disorder
- secondary
MSK probs
- disturbance
of
- clinical
manifestations
emerge over
time
- though lesion
non-progressve
- motor disorder may evolve
- so may seem like deterioration
- so may seem like deterioration
- motor disorder may evolve
- though lesion
non-progressve
- epidemiology
- commonest
cause of
motor
impairment in
kids
- affects 2 per
1000 live births
- affects 2 per
1000 live births
- commonest
cause of
motor
impairment in
kids
- diagnosis
formulation
includes
- distribution
of motor
disorder
- movement
type
- cause
- any assoc
impairment
- distribution
of motor
disorder
- causes
- antenatal
- 80%
of CP
- vascular
occlusion
- cortical
migration
- structural
maldevelopment
of brain
- genetic
syndromes
- congenital
infection
- 80%
of CP
- perinatal
- hypoxic-ischaemic injury
- during delivery
- 10% of CP
- 10% of CP
- during delivery
- hypoxic-ischaemic injury
- postnatal
- 10% of CP
- meningitis/encephalitis/encephalopathy
- head trauma
- accidental or not
- accidental or not
- symptomatic hypoglycaemia
- hydrocephalus
- hyperbilirubinaemia
- 10% of CP
- in preterm
infants
- periventricular
leucomalacia
- secondary
to
ischaemia
- secondary
to
ischaemia
- severe
intraventricular
haemorrhage
- periventricular
leucomalacia
- MRI
scan can
ID
- but not
needed
to diag
- but not
needed
to diag
- antenatal
- Mx
- give parents details of diag asap
- prognosis difficult during infancy
- till severity & pattern of evolving signs
and developmental progress becomes
clearer w/ age
- till severity & pattern of evolving signs
and developmental progress becomes
clearer w/ age
- MDT approach
- give parents details of diag asap
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