Cerebral Palsy (CP) is a medical condition that affects control of the muscles. If someone has cerebral palsy it means that because of an injury to their brain, they are unable to use some of the muscles in their body in the normal way. Children who have cerebral palsy may not be able to walk, talk, eat or play like other kids.Cerebral palsy could be understood in a way cerebral means something related with brain and palsy means there is a problem in movements of body. And damage which occur to the developing brain does not continue to progress in coming years of life. It appears during first few years of life.
Cause - Cerebral palsy is caused by an injury to the brain before, during, or shortly after birth. Sometimes injuries to a baby's brain happen while the baby is still in the mother's womb. The injury might be caused by an infection or by an accident in which the mother is hurt. If the mother has a medical problem such as high blood pressure or diabetes, this can also cause problems in the baby. There may be problems during birth such as the baby not getting enough oxygen, or a difficult delivery in which the baby's brain is injured. Problems after birth may happen when a baby is born too soon (premature delivery) and his body is not ready to live outside his mother's womb. The most important thing to remember is that you do not "catch" CP from another person, and you do not develop CP later in life. It is caused by an injury to the brain near the time of birth.
- Infection during pregnancy
- Rh incompability
- Neonatal jaundice
- Hypoxia during pregnancy or during labour
- Physical and metabolic trauma to the fetus
- Premature birth
- Low birth weight
- Seizures shortly after birth
- Abnormal brain development
different types of CP
Children with CP have damage to the area of their brain that controls muscle tone. Depending on where their brain injury is and how big it is, their muscle tone may be too tight, too loose, or a combination. Muscle tone is what lets us keep our bodies in a certain position, like sitting with our heads up to look at the teacher in class. Changes in muscle tone let us move.
Children with CP are not able to change their muscle tone in a smooth and even way, so their movements may be jerky or wobbly. The different types of CP are:
1.Spastic Cerebral Palsy
Spastic – here damage occur to cortico spinal tract or to the motor cortex. This condition causes hypertoniaIf muscle tone is too high or too tight, the term spastic is used to describe the type of cerebral palsy. Children with spastic CP have stiff and jerky movements because their muscles are too tight. They often have a hard time moving from one position to another or letting go of something in their hand. This is the most common type of CP. About half of all people with CP have spastic CP.
2.Ataxic Cerebral Palsy – damage occur to cerebellum, leading to hypotonia and tremors
Low muscle tone and poor coordination of movements is described as ataxic CP. Kids with ataxic CP look very unsteady and shaky. They have a lot of shakiness, like a tremor you might have seen in a very old person, especially when they are trying to do something like write or turn a page or cut with scissors. They also often have very poor balance and may be very unsteady when they walk. Because of the shaky movements and problems coordinating their muscles, kids with ataxic CP may take longer to finish writing or art projects.
3.Athetoid Cerebral Palsy
Dyskinectic – damage occurs to extrapyramidial motor system/ pyramidal tract and to basal ganglia. Patient suffers from mixed muscle tone and show involuntary motionsThe term athetoid is used to describe the type of cerebral palsy when muscle tone is mixed - sometimes too high and sometimes too low. Children with athetoid CP have trouble holding themselves in an upright, steady position for sitting or walking, and often show lots of movements of their face, arms and upper body that they don't mean to make (random, involuntary movements). These movements are usually big. For some kids with athetoid CP, it takes a lot of work and concentration to get their hand to a certain spot (like to scratch their nose or reach for a cup). Because of their mixed tone and trouble keeping a position, they may not be able to hold onto things (like a toothbrush or fork or pencil). About one-fourth of all people with CP have athetoid CP.
4.Mixed Cerebral Palsy
When muscle tone is too low in some muscles and too high in other muscles, the type of cerebral palsy is called mixed. About one-fourth of all people with CP have mixed CP
In addition to problems controlling their muscle movement, children with CP may have some other problems too. Most of these are caused by the same brain injury that caused CP.
Talking and Eating
Just as CP can affect the way a person moves their arms and legs, it can also affect the way they move their mouth, face and head. This can make it hard for the person to talk clearly and to bite, chew and swallow food. Their speech is hard to understand, they are unable to make their lips, jaw and tongue move quickly.
About one-fourth to one-half of children with CP also have some type of learning problem. It may be a learning disability or a more severe learning problem like mental retardation in which they learn everything at a slower rate. People with mild mental retardation may learn to read and write but people with more severe mental retardation probably will not. This does not mean that children with severe mental retardation cannot learn, just that they learn at a slower pace than most other kids and will need some extra help in school.
About half of all children with CP have seizures. This is due to some abnormal activity in their brains that interrupts what they are doing. Often, the abnormal brain activity happens in the same place as the brain injury which caused the CP. The brain is constantly sending messages out to the body - to breathe, to move, to keep your heart pumping. A seizure is a series of abnormal messages being sent out very close together. This may cause someone to stop moving during a seizure or to loose control of his or her body and fall down. Some people show shaking movements all over when they are having a seizure. Seizures usually last a few seconds to a few minutes, and in most case are not dangerous. Medications are required for the management of seizures.
Abnormal muscle tone
Muscles may be very stiff (spastic) or unusually relaxed and floppy. Limbs may be kept in unusual or awkward positions. Spastic leg muscles may cause legs to cross in a scissor-like position
Lack of coordination in performing voluntary movement
- Unsteady gait
- Abnormal muscle tone either hypertonic or hypotonic or mixed
- Stiffness of muscles
- Visual and hearing impairment
- Difficulty in speaking
- Delayed growth
- Feeding problems
- Respiratory difficulties
Blood test Urine test USG for brain CT scanMRI EEGEMG electromyography and nerve conduction studies can make on depends on symptoms
therapy for CP.
Children with CP often go through different kinds of therapy to help them improve their motor skills for things like walking, talking and using their hands. Some kids get therapy at school and some kids go to a special clinic to see their therapists. Therapists are special teachers who are trained to work with people on learning better or easier ways to do things. Therapists coach people to help them learn and practice new skills.
Physical therapists help children learn better ways to move and balance. They may help children with CP learn to walk, use their wheelchair, stand by themselves, or go up and down stairs safely. Kids may also work on fun skills like running, kicking and throwing a ball, or learning to ride a bike.
Speech and Language Therapy
Speech therapists work with children on communication skills like talking, using sign language, or using a communication aid. Children who are able to talk may work with a speech therapist on making their speech clearer or on building their language skills by learning new words, learning to speak in sentences, or improving their listening skills. Children who are not able to talk because of their difficulty controlling the muscles needed for speech may learn sign language or use some kind of communication aid like a book, a poster or an alphabet board. Computers that talk can also be used as communication aids! Occupational Therapy
Occupational therapists usually work with children on better ways to use their arms, hands, and upper body. They may teach children better or easier ways to write, draw, brush their teeth, dress and feed themselves, or control their wheelchair. Occupational therapists also help children find the right special equipment to make some everyday tasks easier.
Recreational therapists help kids with CP have fun. They work with children on sports skills or other leisure activities. In recreational therapy kids may work on dance, swimming or horseback riding. They may also work on art or horticulture or almost any other hobby they are interested in.
Homeopathy approach in CP AGE IS VERY IMPORTANT FACTOR IN TREATING THIS CASES ALWAYS REMEMBER , More age with Cp Always give you less improvements remember
Some important remedies are given below for cerebral palsy symptoms treatment:
Sulphur, Gelsemium, Alumina, Plumbum Met, Arnica Mont, Rhus Tox, Oleander Phosphorous, Picric Acid, Opium, Hypericum, Causticum, Argentums Nit, Agaricus Mus, Zincum Met and many other medicines.
Useful Reportorial work
Short Repertory of Cerebral PalsyBrain - CEREBRAL, palsy arn. caust. con. gels. hell. ign. lath. op.
Brain - CONVULSIONS, brain problems, from - cerebral, softening alum. Bufo Caust.
Brain - EMBOLISM, middle cerebral artery, causes aphasia Kali-br.
Brain - REACTION, lack of cerebral hell. op. zinc.
CHEST - INFLAMMATION - cerebral type, lungs acon. arn. bell. bry. cann-s. canth. hyos. lach. merc. nux-v. phos. puls. rhus-t. stram. sulph.
CHEST - INFLAMMATION - Lungs - cerebral type acon. arn. bell. bry. cann-xyz. canth. hyos. lach. merc. nux-v. phos. puls. rhus-t. stram. sulph.
CHEST - Inner - pneumonia - cerebral type acon. bell. bry. canth. hyos. lach. merc. nux-v. phos. puls. rhus-t. stram. sulph.
Chest and lungs - pneumonia - cerebral type acon. arn. bell. bry. cann-xyz. canth. hyos. lach. merc. nux-v. phos. puls. rhus-t. stram. sulph.
Clinical - Blood, general - plethora, blood - cerebral, congestion, intense Verat-v.
Clinical - blood, vessels, general - distention, blood vessels - arteries - cerebral congestion bell. glon. Verat-v.
Clinical - cerebral, palsy arn. caust. con. gels. hell. ign. lath. op.
Clinical - convulsions, general - alternating, with - cerebral, congestion bell. hyos.
Clinical - convulsions, general - brain, problems, from - cerebral, softening alum. Bufo Caust.
Clinical - convulsions, general - cerebral, softening alum. Bufo Caust.
Clinical - embolism, blood - cerebral, middle artery, causes aphasia Kali-br.
Clinical - fatty, degeneration, organs - liver, - heart disease, sequel of - dilatation of right, caused by cerebral edema phos.
Clinical - measles, infection - cerebral, symptoms, with aeth. apis Bell. camph. coff. Cupr-act. stram. verat-v. viol-o. zinc.
Clinical - pneumonia, infection, inflammation, lungs - cerebral, type acon. arn. bell. bry. cann-s. canth. hyos. lach. merc. nux-v. phos. puls. rhus-t. stram. sulph.
Convulsions, spasms - cerebral softening, from caust.
EXTERNAL THROAT - PULSATION - bloodvessels - carotid - congestion, with cerebral atro-pur. kali-br.
EYES - DISCOLORATION - redness - congestion, with cerebral kali-br.
Eyes - PARALYSIS, eyes - optic nerve, amaurosis - transient, complicating motor palsy plb.
FACE - DISCOLORATION - red - flushes - congestion, with cerebral aml-ns. coffin. corn. iber. kali-br. lith-br. visc. ziz.
FACE - Muscles; facial – Paralysis Acon. aethi-m. alum. Am-p. bell. cadm-s. Caust. cocc. cur. Dulc. form. Gels. Graph. hyper. Kali-chl. Kali-i. physal-al. Rhus-t. ruta Seneg. zinc-pic.
FEVER - CONTINUED fever – cerebral Apis arn. Bapt. Bry. canth. cic. Gels. HYOS. Lach. Lyc. nux-m. Op. Ph-ac. Phos. Rhus-t. STRAM. verat-v. verat.
FEVER - CONTINUED fever - congestive - cerebral paralysis; with threatened hell. Lach. Lyc. OP. Ph-ac. Phos. tarent. zinc.
FEVER, HEAT - CONTINUED fever, typhus, typhoid – cerebral APIS arn. BAPT. BRY. canth. cic. GELS. HYOS. LACH. LYC. nux-m. OP. PH-AC. PHOS. RHUS-T. STRAM. sumb. verat-v. verat.
FEVER, HEAT - CONTINUED fever, typhus, typhoid - congestive - threatening - cerebral paralysis hell. LACH. LYC. OP. PH-AC. PHOS. tarent. zinc.
FEVER, HEAT - ERUPTIVE fevers - rubella, measles - cerebral and convulsive symptoms, with aeth. apis BELL. camph. coff. CUPR-ACT. stram. verat-v. viol-o. zinc.
FEVER, HEAT - ERUPTIVE fevers - scarlatina - nervous, convulsive, cerebral symptoms, with aeth. ail. am-c. apis ars. BELL. camph. CUPR-ACT. cupr. HYOS. rhus-t. STRAM. sulph. zinc.
GENERALITIES - PARALYSIS - general - congestion, from cerebral cur. zinc-phic.
GENERALITIES - WEAKNESS, enervation, exhaustion, prostration, infirmity - congestion, from cerebral zinc-phic.
GENERALS - CONVULSIONS - cerebral softening Caust.
HEAD - ANOXIA; cerebral op. zinc-s.
HEAD - BRAIN; complaints of – Cerebrum cocc.
HEAD - CONSTRICTION - brain – cerebrum carbn-s.
Head - Drawn - forward toward frontal sinuses, lobes of cerebrum were dirc.
HEAD - IRRITATION, brain - nervous, cerebrum, extending to cerebellum dat-a.
HEAD - NOISES - beating of cerebral arteries op.
HEAD - PAIN - dull - brain - cerebrum, on waking ant-s-aur.
HEAD - PAIN - pressing - brain – cerebrum spig.
HEAD - PAIN - stitching - brain - cerebrum, left agar.
HEAD - PAIN - tearing - brain - cerebrum, as if there is no room in skull and it would press out through ear chel.
HEAD - REACTION, lack of cerebral zinc.
HEAD - WEAKNESS - brain - cerebrum, evening amel. pip-m.
Hearing - DEAFNESS, hearing loss of – cerebral chen-a. mur-ac.
Hearing - DEAFNESS, hearing loss of - palsy, complicating motor plb.
HEARING - LOST - cerebral origin chen-a. mur-ac.
HEARING - NOISES - whizzing - congestion, with cerebral sang.
Hearing - NOISES, in ears - roaring - cerebral congestion, in Aur. ferr-p. Op. Sulph. Verat-v.
Hearing - NOISES, in ears - whizzing - cerebral, congestion, with sang.
Heart - CONSTRICTION, sensation - cerebral, congestion, with aml-ns.
Heart - PALPITATIONS, general - alternating, with - cerebral, congestion Glon.
HEART & CIRCULATION - CONSTRICTION, tension, tightness - heart - congestion, with cerebral aml-ns.
HEART & CIRCULATION - PALPITATION heart - alternating with - congestion, cerebral GLON.
M - Migraine - cerebral origin stann.
MIND - DELIRIUM tremens, mania-a-potu - congestion, with cerebral chlol.
MIND - EXCITEMENT, excitable – cerebral aeth. ars. astac. carbn-s. merc. ox-ac.
MIND - EXCITEMENT, excitable - tendency – cerebral aeth. ars. astac. carbn-s. merc. ox-ac.
MIND - INSANITY, madness - cerebral atrophy, with chlorpr.
Mind - INSANITY, madness - congestion, from cerebral Bell. Stram. verat-v.
MIND - RECOGNIZE - does not - palsy, in ANAC.
NAUSEA AND VOMITING - Vomiting – cerebral aml-ns. apis apom. bell. glon. hell. merc. zinc.
NERVOUS SYSTEM - Paralysis - In – face acon. Am-p. bar-c. bell. caust. cur. gels. graph. Kali-chl. nat-m. physal-al. rhus-t. Zinc-pic.
Pulse - SLOW, pulse - cerebral disturbance, in, scarcely 60 croc.
SENSATIONS AND COMPLAINTS IN GENERAL - Reaction – cerebral Zinc.
SLEEP - SLEEPINESS - cerebral effusion, with APISIN. hell. kali-i.
SLEEP - Sleepiness - effusion, cerebral Apis Hell. kali-i.
Sleep - SLEEPINESS, general - cerebral, effusion, with Apis hell. kali-i.
STOMACH - VOMITING - general - cerebral irritation, with aml-ns. apisin. apom. bell. cyt-l. dor. glon. hell. merc. plb. zinc.
Stomach - VOMITING, general - cerebral, irritation, with aml-ns. apis apom. bell. cyt-l. dor. glon. hell. merc. plb. zinc.
Stool - FATTY, greasy, stool - oily, looking fecal - amel. cerebral symptoms pic-ac.
Stool - OILY, looking - amel., cerebral symptoms pic-ac.
TEETH - DENTITION - difficult - cerebral, nervous symptoms, with acon. agar. apis BELL. CHAM. cimic. cypr. dol. HELL. kali-br. PODO. sol-ni. ter. ZINC.
VERTIGO - CEREBRAL diseases, in alum. bell. COCC. cyt-l. gels. kali-p. sulfon. tab.
Vision - BLINDNESS, loss of vision - sudden - complicating motor palsy plb.
VISION - LARGE - objects seem - cerebral congestion, in aeth.