The Indian Journal of Pediatrics

, Volume 72, Issue 10, pp 865–868 | Cite as

Cerebral palsy-definition, classification, etiology and early diagnosis

Symposium on Developmental and Behavioral Disorders-I

Abstract

Cerebral palsy is a common neurodevelopmental condition encountered by pediatricians. The condition may present itself in many diferent clinical spectra. The etiological and risk factors are many and an awareness of the interplay of multiple factors in the causation of CP is crucial. In many cases, the cause of Cerebral palsy may not be apparent. Cerebral palsy is invariably associated with many deficits such as mental retardation, speech and language and oromotor problems. A thorough neurodevelopmental assessment of the child with Cerebral Palsy should include evaluation of associated deficits so that a comprehensive early intervention program an be planned and executed.

Key words

Cerebral palsy Spasticity Hypotonia Associated deficits Infanib 
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References

  1. 1.
    Mutch L, Alberman E, Hagberg B, Kodama K, Perat MV. Cerebral palsy epidemiology: where are we now and where are we going?Dev Med Child Neurol 1992; 34: 547–551.PubMedCrossRefGoogle Scholar
  2. 2.
    Rosen MG, Dickinson JC. The incidence of cerebral palsy.Am J Obstet Gynecol 1992; 167: 417–423.PubMedGoogle Scholar
  3. 3.
    Nelson K.B. Can we prevent cerebral palsy?N Engl J Med 2003; 349:1765–1769.PubMedCrossRefGoogle Scholar
  4. 4.
    Kuban KCK, Leviton A. Cerebral Palsy.N Engl J Med 1994; 33: 188–195.CrossRefGoogle Scholar
  5. 5.
    MacLennan A. A template for defining a causal relation between acute intrapartum events and cerebral palsy: international consensus statement.BMJ 1999; 319:1054–1059PubMedGoogle Scholar
  6. 6.
    Michael EM. Developmental Vulnerability and Resilience in extremely preterm infants.JAMA 2004; 292: 2399–2401.CrossRefGoogle Scholar
  7. 7.
    Wu YW, Colford JM Jr. Chorioamnionitis as a risk factor for cerebral palsy: A meta analysis.JAMA 2000; 284:1417–1424.PubMedCrossRefGoogle Scholar
  8. 8.
    Wu YW, Escobar GJ, Grether JK, Creon LA, Greene JD, Newman TB. Chorioamnionitis and cerebral palsy in term and near-term infants.JAMA 2003; 290: 2677–2684.PubMedCrossRefGoogle Scholar
  9. 9.
    Singhi PD, Jagirdar S, Malhi P. Epilepsy in children with cerebral palsy.J Child Neurology 2003; 18:174–179.CrossRefGoogle Scholar
  10. 10.
    Reilly S, Skuse D, Poblete X. Prevalence of feeding problems and oral motor dysfunction in children with cerebral palsy.J Pediatr 1996; 129: 877–882.PubMedCrossRefGoogle Scholar
  11. 11.
    Srivastava VK, Laisram N, Srivastava RK. Cerebral palsy.Indian Pediatr 1992; 29: 993–996.PubMedGoogle Scholar
  12. 12.
    Ojturk M, Akkus S, Malas M.A, Kisioglu A.N. Growth status of children with Cerebral palsy.Indian Paed 2002; 39: 834–838Google Scholar
  13. 13.
    Singhi PD, Ray M, Suri G. Clinical Spectrum of Cerebral Palsy in North India-An Analysis of 1000 Cases.J Trop Pediatr 2002; 48: 162–166.PubMedCrossRefGoogle Scholar
  14. 14.
    Menkes JH, Sarnat HB. Periuatal asphyxia and Trauma. In Menkes JH, Sarnat HB, edn.Child Neurology. Lippincott Williams and Wilkins 2000; 427–436.Google Scholar
  15. 15.
    Palisano RJ, Rosenbaum PL, Walter Set al. Development and reliability of a system to classify gross motor function in child with cerebral palsy.Dev Med Child Neurol 1997; 39: 214–223.PubMedCrossRefGoogle Scholar
  16. 16.
    Sanger T.D, Delgado M.R, Deborah D, Hallett M, Mink J.W, Task Force on Childhood Motor Disorders Classification and Definition of Disorders Causing Hypertonia in Childhood.Pediatrics 2003; 111(1): e89-e97.PubMedCrossRefGoogle Scholar
  17. 17.
    Ellison PH, The Infanib A reliable method for the neuromotor assessment of infants. Therapy skill builders, Texas.Google Scholar
  18. 18.
    Ellison PH, Horn JL, Browning CA. Construction of an Infant Neurological International Battery (Infanib) for the assessment of neurological integrity in infancy.Phys Ther 1985; 65(9): 1326–1331.PubMedGoogle Scholar
  19. 19.
    Ashwal S, Russman BS, Blasco PA, Miller G, Sandier A, Shevell M, Stevenson R. Practice Parameter: diagnostic assessment of the child with cerebral palsy.Neurology 2004; 62: 851–863.PubMedGoogle Scholar

Copyright information

© Dr. K C Chaudhuri Foundation 2005

Authors and Affiliations

  1. 1.Department of Developmental PediatricsBangalore Children’s’ HospitalBangalore

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