Cerebral palsy important symptoms and treatment process

Cerebral palsy, popularly known as cerebral palsy; It is the irreversible but non-progressive damage that occurs in the brain until the brain development is completed, that is, from birth to the first five years of age.

A drug used by the expectant mother during pregnancy, illness, infection, trauma or genetic disease may be the cause of cerebral palsy. In our country, problems such as premature or difficult birth, lack of oxygen during birth, and cord entanglement are shown as the cause of the disease. Problems such as a febrile illness or cerebral hemorrhage that the baby has after birth can also cause cerebral palsy.

Important Symptoms

Families should be wary of symptoms. If there is a problem in the developmental stages of the child, it should be investigated. If the child cannot sit when he should sit, if he cannot hold his head when he should, if he has less interest in the environment compared to his peers, if his primitive reflexes continue for a long time, he should definitely be evaluated. Since pediatricians monitor these periods of children, their warnings should be taken seriously by the family.

Cerebral palsy is noticed in some children when they reach walking age. Unfortunately, when the family goes to the specialist doctor with the complaint that their child cannot walk and is diagnosed, it may be too late for many things. Therefore, it is very important to follow up children in the risk group starting from the early period.

Cerebral palsy may present with retardation in all functions. Mental retardation is also a part of it. The intelligence of the child may be very close to normal or at a lower level. Concomitant visual, hearing and other functions may be impaired. Corrections for vision and hearing can be made if intervened early.

Diagnosis of Cerebral Palsy

Diagnosis of cerebral palsy can be made by clinical evaluation of children with developmental delay, and examinations such as MRI and EMG also help the diagnosis. When clinical developmental delay is observed in the child and signs are encountered, families should not neglect this situation and should consult their doctor. The diagnosis is made by the patient’s doctor with the results of examinations and tests such as MRI.

Families may sometimes think that their child does not have cerebral palsy by saying that they have had an MRI and it is uneventful. However, one must be extremely careful in this regard; While there are children whose MR is very close to normal and disease can be seen, there are also children whose MR indicates a problem but develop very close to normal.

Referral to Treatment

First of all, it should be known that cerebral palsy is not a standard disease that gives the same findings in all patients; Therefore, the treatment also varies according to the patient. Treatment lasts for the entire life of the child.

The treatment has many stages and is carried out in cooperation with doctors from different branches. The physiotherapist is of great importance in this disease because the physiotherapist is the person who spends the longest time with the child during the treatment. He should make observations while doing the work, and refer the child to his neurologist if he sees a problem in the developmental chart. If he thinks that there is a problem with the child’s joints, he should refer him to the child’s orthopedist.

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