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Spastic cerebral palsy is caused by malformation of or damage to the parts of the brain that control movement. [12] What exactly makes some children susceptible to such brain damage is often unknown but it is believed that cerebral palsy may be the result of causal pathways, or chains of events that cause or increase the likelihood of brain injury. [13]
Spastic cerebral palsy is the type of cerebral palsy characterized by spasticity or high muscle tone often resulting in stiff, jerky movements. [110] Itself an umbrella term encompassing spastic hemiplegia , spastic diplegia , spastic quadriplegia and – where solely one limb or one specific area of the body is affected – spastic monoplegia.
Spastic quadriplegia, also known as spastic tetraplegia, is a subset of spastic cerebral palsy that affects all four limbs (both arms and legs). Compared to quadriplegia , spastic tetraplegia is defined by spasticity of the limbs as opposed to strict paralysis .
The incidence of cerebral palsy has increased in the past 40 years. It has been estimated that, in the United States, cerebral palsy occurs in four out of every 1000 births. [11] Of those births, about 20–30% have spastic hemiplegia. Overall, spasticity is the more common type of cerebral palsy and non-spastic cerebral palsy is less common.
The presence of the Babinski sign is an abnormal response in adulthood. Normally, during the plantar reflex, it causes plantar flexion and the adduction of the toes. In Babinski's sign, there is dorsiflexion of the big toe and abduction of the other toes. Physiologically, it is normally present in infants from birth to 12 months.
A general movements assessment is a type of medical assessment used in the diagnosis of cerebral palsy, [1] and is particularly used to follow up high-risk neonatal cases. [2] The general movements assessment involves measuring movements that occur spontaneously among those less than four months of age and appears to be most accurate test for ...
This gait pattern is reminiscent of a marionette. Hypertonia in the legs, hips and pelvis means these areas become flexed to various degrees, giving the appearance of crouching, while tight adductors produce extreme adduction, presented by knees and thighs hitting, or sometimes even crossing, in a scissors-like movement while the opposing muscles, the abductors, become comparatively weak from ...
It results in unusually thick convolutions of the cerebral cortex. Typically, children have developmental delay and seizures, the onset and severity depending on the severity of the cortical malformation. Infantile spasms are common in affected children, as is intractable epilepsy. [citation needed]