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Cerebral palsy SGD

Learn to define and explain cerebral palsy, recognize presentation patterns, types, physical findings, investigate suspected cases, and implement management principles. Case history and classification included.

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Cerebral palsy SGD

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  1. Cerebral palsySGD Dr Saffiullah AP Paeds

  2. By the end of this discussion you should be able to; 1.Define cerebral palsy and be able to explain it to parents 2.Know the different presentation patterns of cerebral palsy 3.Know the types and physical finding on examination 4.Investiagte a child with suspected cerebral palsy 5.Know principles of management of cerebral palsy Learning outcomes

  3. A 1 year old boy was seen in the clinic because he is still not able to sit on his own. 1.What 6 important question would you ask in history? 2.What 6 important things would you examine during systemic examinations? 3.What one important investigation would you do? 4.What are the principles of management? Case history

  4. Static encephalopathy • Brain Injury that is non-progressive manifested as disorder of posture and movement • Often associated with seizure disorder, speech difficulties, vision & cognitive dysfunction Definition

  5. Spastic • Ataxic • Atonic • Athetoid • mixed Classification

  6. Abnormal posture • Delay in attaining motor mile stones • Floppiness • Difficulty in swallowing/choking episode • Abnormal body movements • Seizure disorder • Big/small head • Visual/hearing difficulties Presentation

  7. History and examination • Neuro imaging Diagnosis

  8. Multidisciplinary • OT/Physio • Speech therapy • Hearing/visual input • Orthosis/mobility aids • Orthopedic surgery • Medications muscle relaxent, antireflux, laxative • Rhizotomy, Baclofen pumps, Botoxin Management

  9. Thank you

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