Cerebral palsy is a group of neurological conditions that affect movement, muscles tone and posture, that is mainly due to damage to a child’s brain during foetal development.
The symptoms of cerebral palsy may vary during the child’s development, but the condition doesn’t get worse and generally stays the same over time.
The cause of cerebral palsy and its effect on bodily functions vary from person to person.
The main effect of Cerebral Palsy is that it disrupts control of muscles movement.
Common Symptoms
The signs and symptoms of CP appear early in childhood or preschool years and can vary widely from person to person. In some it may affect the whole body while in others the condition might only affect one or two limbs or one side of the body.
General symptoms may include.
- Trouble with movement and coordination
- Speech and eating disorder
- Intellectual disabilities
- Irregular posture
- Ataxia – uncontrollable body movements
- Hard to swallow food
- Eye muscles imbalance where eyes don’t focus on the same object.
- Reduced range of motion in joints due to muscle stiffness.
- Head size differences: including an unusually small head (microcephaly) or an unusually large head (macrocephaly).
- Babies with CP may seem fussy or irritable frequently.
- Lack of interaction – may not react to people around them.
- Hypotonia – a lack of muscle tone
- Delayed in reaching some expected developmental milestones such as sitting up or crawling
- Movements that look like they’re slow and writhing or twisting.
- Movements that look like you’re flinging or throwing or fidgeting or dancing.
- Stiff muscles and exaggerated reflexes, known as spasticity.
- Variations in muscle tone, such as being either too stiff or too floppy.
- Stiff muscles with regular reflexes, known as rigidity.
- Jerky movements that can’t be controlled, known as tremors.
- Favoring one side of the body, such as only reaching with one hand or dragging a leg while crawling.
- Walk on toes or crouch down when they walk.
- Scissors-like Walk with their knees crossing.
- A wide gait or a walk that’s not steady.
- Trouble with fine motor skills, such as buttoning clothes or picking up utensils.
- Delays in speech development.
- Trouble with sucking, chewing or eating.
- Drooling or trouble with swallowing.
- Learning disabilities.
- Delayed growth, resulting in smaller size.
- Seizures, which are symptoms of epilepsy.
- Trouble hearing – deafness
- Trouble with vision e.g., blindness and changes in eye movements.
- Pain or trouble feeling sensations such as touch.
- Bladder and bowel issues, including constipation and urinary incontinence.
Possible Causes & Risk Factors
Damage to the developing brain that occurs, most often before birth, but it can occur during birth or in early infancy.
Many other factors can also lead to changes in brain development. Some include:
- Preterm (premature) birth with very low birth weight – babies born before 28 weeks of gestation are at higher risk
- Congenital malformations due to disruptions in fetal brain development.
- Genetic issues affecting fetal development.
- Maternal infections during pregnancy
- Stroke, which interrupts blood supply to the developing brain.
- Bleeding into the brain in the womb or as a newborn.
- Traumatic head injury e.g., a fall or physical trauma.
- Lack of oxygen to the brain during labor or delivery,
- Infections in brain or spinal cord.
- Brain damage from toxic buildups in liver or jaundice.
- Meconium aspiration.
- Newborn hypoglycaemia.
- Suffocation
- Substance use by a mom during pregnancy
- Multiple foetuses (twins, triplets, etc.).
- Cytomegalovirus to a mother during pregnancy – that causes flu-like symptoms.
- Herpes infection, Toxoplasmosis, syphilis or intrauterine infections that can be passed from mother to child during pregnancy and affect the placenta.
- German measles, known as rubella.
- Exposure to toxins
- Other conditions affecting the mother that can increase the risk include thyroid conditions, preeclampsia or seizures.
- Infant illness e.g., Bacterial meningitis or Viral encephalitis etc.
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