The most important manifestations of cerebral palsy, what are the manifestations of cerebral palsy

Symptoms of cerebral palsy in children include movement disorders, postural disorders, speech disorders, auditory and auditory impairments, growth and development disorders, dental development disorders, orofacial dysfunction, emotional and behavioral disorders, and epilepsy.

1. Movement disorders: the motor ability of children with cerebral palsy is lower than that of normal children of the same age, the motor self-control ability is poor, the degree of impairment is only the hands, the foot movements are slightly inflexible or clumsy, and the serious ones will not grasp things with both hands, and the feet will not walk, and some will not even turn over, will not sit up, will not stand, and will not chew and swallow normally.

2. Posture disorder: children with cerebral palsy have abnormal postures, poor posture stability, awkward posture during exercise or at rest, asymmetry on the left and right sides, and some serious cases often cannot be in the upright and median position like normal children, but are accustomed to biasing to one side, or swaying back and forth.

3. Intellectual disability: Among all children with cerebral palsy, about 1 4 children with normal intelligence, mild intelligence, moderate mental deficiency accounted for about 1 2, and severe mental deficiency accounted for about 1 2

4. Language disorder: Most children with cerebral palsy may be accompanied by different degrees of language impairment, some of which are manifested as difficulty in language expression or language formation, some are manifested as slurred pronunciation or stuttering, and some are also manifested as aphasia, that is, they can understand other people's language, but they cannot speak, especially in the proportion of cerebral palsy with aphtosis in the hands.

5. Visual and auditory impairment: Many children with cerebral palsy are accompanied by myopia or strabismus, among which esotropia is more common, and hearing loss is more common with aphtotic cerebral palsy. Children with cerebral palsy often have difficulty discerning the rhythm of sounds.

6. Growth and development disorders: The growth and development of some children with mild cerebral palsy can be basic or close to normal, but most children with cerebral palsy are shorter than normal children of the same age, and their growth and development appear to be backward.

7. Dental development disorders: most of the teeth of children with cerebral palsy are underdeveloped, the teeth are loose and easy to decay, and the incidence of various dental diseases is higher than that of normal children.

8. Oral and facial dysfunction: Some children with cerebral palsy have obvious spasms or uncoordinated contractions of facial muscles and tongue muscles. This can lead to difficulty chewing and swallowing, difficulty closing the mouth, and drooling.

9. Emotional and behavioral disorders: Many children with cerebral palsy, especially those with athetoid and children, are stubborn, willful, have great mood swings, are good at feeling irritable, and some are even withdrawn and unsociable. Abnormal behaviors are manifested as (1) obsessive behaviors:

Forcing yourself to do something. (2) Self-injurious behavior: hitting oneself or hitting oneself with the head and constantly hitting the wall.

3) Aggressive behavior: Hit others, but it is rare.

10. Epilepsy: About 39%-50% of children with cerebral palsy are induced by epilepsy due to fixed lesions in the brain, and the incidence of epilepsy in children with severe mental retardation is particularly prominent.

The early manifestations of cerebral palsy are generally crying, and the reaction is slow, wait for you to ask a specialist, my friend's child is suffering from epilepsy, and he is in a very well-known hospital**; You go and ask** yes o 8 6l3 4 you call and ask, quite a well-known doctor.

1.Dyskinesia – poor self-motor control and inability to grasp things. Won't speak. Won't walk. Won't roll over. It doesn't start. Won't stand hard. Won't chew and swallow normally.

2.Postural disorders – various postural abnormalities and poor postural stability. The head still cannot be erect for 3 months. It is not easy to break open in a fist. Legs are not easy to straighten.

3.Intellectual disability - normal intelligence about 1 4 mild to moderate mental retardation about 1 2 severe mental retardation about 1 4.

4.Language disorders – difficulty in language expression, slurred pronunciation or stuttering. In severe cases, they will not be able to speak.

5.Audiovisual and auditory disturbances – esotropia and difficulty discerning the rhythm of sounds are most common.

6.Failure to thrive – short stature.

7.Disordered tooth development – loose and easy to break.

8.Emotional Behavior Disorder – Stubbornness. Wayward. Irritability. Eccentric. Mood swings. Sometimes compulsions occur. Self-injury. Intrusive behavior.

Children with cerebral palsy can induce epilepsy. This is especially true in children with severe mental retardation.

If you have cerebral palsy, it is mainly a phenomenon of movement disorders, and it will also manifest as mood swings, easy crying, emotional fragility and other phenomena, which are related to the impaired brain function during cerebral palsy, and visual impairment when suffering from cerebral palsy, such as myopia, eye squint, etc. The most important thing is that it will be different from other normal children, and it will be very difficult to hit psychologically, so it is necessary to actively build the self-confidence of cerebral palsy patients in daily life.

Pediatric cerebral palsy, often caused by widespread brain damage, is a serious brain disorder with symptoms of neurological damage being common. The main manifestations are: movement disorders such as uncoordinated movements, stiffness, involuntary movement of limbs, head and face, or muscles of the whole body, rich and strange facial expressions, scissor-like walking, spasmodic paralyzed gait, and toe landing.

The upper extremities are flexed at the elbow and wrist. Hypertonia or hypotonia, dysphagia, difficulty in language expression, etc., often combined with mental retardation, developmental delay, epilepsy and other symptoms.

There are many causes of cerebral palsy, but the number of people who cannot find the cause may be as high as 1 3. Sometimes there may be multiple factors in some cases.

Prenatal factors are the most common, including hereditary and chromosomal diseases, congenital infection, malformation or dysplasia of brain development, periventricular leukomalacia or basal ganglia damage caused by fetal cerebral ischemia and hypoxia. Perinatal factors refer to brain injuries that occur between the onset of delivery and the first week of life, including cerebral edema, neonatal shock, intracerebral hemorrhage, sepsis or central nervous system infection, ischemic-hypoxic encephalopathy, etc. Perinatal factors may be an important cause of cerebral palsy in preterm infants.

Factors after the late neonatal period include non-progressive brain injury caused by central nervous system infection, cerebrovascular disease, head trauma, and regurgitation that occur between 1 week and 3 or 4 years of age**.

What are the common early symptoms of cerebral palsy.

It's all clear here.

Normal people are able to move flexibly and maintain posture with the help of appropriate stretch reflexes. If the reflex contraction is too strong when the muscles are extended, the hands and feet are inflexible, the range of motion of the joints is limited, and it gives a feeling of spasmodic stiffness, especially in the lower limbs, and the tendon hyperreflexia can be seen in percussion of the knee, and the extension reflex center is in the spinal cord, which is innervated and regulated by the brain. Brain injury loses the ability to inhibit the spinal cord, not only hyperextlate reflexia, but also does not complete the motor instructions from the brain well, resulting in movement disorders and abnormal posture, which is the most common spastic cerebral palsy.

In general, low-birth weight infants and asphyxia infants are susceptible to this type, accounting for about 60 70 of children with cerebral palsy. Manifestations include extensor reflex or low value, standing and walking with the legs crossed, pointy feet, knee flexion contractures, and inverted femoral joint deformation.

Spastic quadriplegia: generalized impairment with more severe activity limitations, often accompanied by speech and other concurrent impairments. The two lower limbs are characterized by a crossed posture, unable to stand because of the toe landing on the ground, so that the sitting position is hunched over, the elbow and wrist joints, the fingers are flexed, and the palms are downward, and there is a slight difference between the left and right, which is almost a damage to the symmetry of the left and right.

Spastic diplegia: also symmetrical invasion. The damage to the lower limbs is heavier than the upper limbs.

Some upper limbs are close to normal and become paraplegics, but this type is almost not seen in children with cerebral palsy. The paralysis of the lower limbs is not much different from quadriplegia, and those who have been trained have the possibility of walking, and the heavy ones can also walk with crutches, and the light ones mostly walk before the age of 3 or 4.

The symptoms of cerebral palsy are diverse, the damaged parts of the brain are different, and the symptoms of filial piety are also different, and the following typical symptoms are common:

1. The development of disturbed motor is backward, and the active movement is reduced, whether it is gross motor or fine motor, the development is slower than that of children of the same age.

2. Abnormal muscle tone, most of which manifest as significantly increased muscle tone, and very few manifest as hypotonia.

3. Abnormal posture and various posture forms, often manifested as head back in supine position, lower limbs straightened, limbs gathered in supine position, buttocks higher than head or difficulty in raising head, etc.

4. Abnormal reflexes, children with cerebral palsy often show primitive reflexes, which are delayed and disappear, and protective reflexes are weakened or delayed with accompanying symptoms, such as intellectual disability, epilepsy, language dysfunction, visual impairment, hearing impairment, etc.

Clinical presentation. 1.Clinical typing.

1) The spasmodic type is mainly damaged by the cone system.

2) The involuntary movement type is mainly damaged by the extrapyramidal system, and the involuntary movement increases. Manifestations include athetosis, chorea-like movements, dystonia, tremor, etc.

3) The ankylotic type is mainly damaged outside the pyramid, and it is a gear-like and lead-tube-like persistent hypertonia.

4) The ataxia type is dominated by cerebellar damage.

5) Hypotonia.

6) Mixed type of the same child presents with two or more types of symptoms.

2.Classification is based on the location of paralysis.

1) Monoplegia single limb involvement.

2) Diplegia affects all four limbs, the upper limbs are light, and the lower limbs are heavy.

3) Tripriplegia involves three limbs.

4) Hemiplegia hemilimb involvement.

5) Quadriplegia is involved in all four limbs, and the degree of upper and lower limb involvement is similar.

Cerebral palsy is a syndrome in which a child suffers from non-progressive brain damage from various causes from birth to one month after birth. The causes of its pathogenesis are complex and diverse, mainly concentrated in three aspects: first, postpartum factors, including intrauterine infection, intrauterine growth retardation, trauma during pregnancy, multiple pregnancy, etc.; the second is the time of delivery, mainly preterm birth and dystocia; The third is postpartum factors, including neonatal shock, head injury and epileptic convulsions caused by hyperbilirubinemia, blood loss, infection and other reasons, as well as genetic factors.

Among these **, preterm birth and low birth weight are the main causes of cerebral palsy, and the shorter the pregnancy, the lower the birth weight, and the higher the prevalence of cerebral palsy.

The main clinical manifestations of cerebral palsy are as follows:

1.Movement disorders:

Children with cerebral palsy have lower motor ability than normal children of the same age, and their motor self-control is poor. The degree of impairment is only slightly inflexible or clumsy in the movements of the hands and feet, and in the severe cases, the hands cannot grasp things, the feet cannot walk, and some even cannot turn over, sit up, stand, chew and swallow normally.

2.Postural Disorders:

Children with cerebral palsy have abnormal postures, poor posture stability, awkward posture during exercise or at rest, asymmetry on the left and right sides, and some severe cases of the head can not be in an upright and neutral position like normal children, but are accustomed to tilting to one side, or rocking back and forth.

3.Intellectual Disability:

Among all children with cerebral palsy, about 1 4 children have normal intelligence, about 1 2 have mild or moderate mental deficiency, and about 1 4 have severe mental deficit.

4.Language Barrier:

Most children with cerebral palsy may have varying degrees of language impairment, some of which are manifested as difficulty in language expression or language formation, some of which are characterized by slurred pronunciation or stuttering, and some of which also manifest as aphasia, that is, they can understand other people's language but cannot speak themselves, especially in athetosis.

5.Visual and hearing impairments:

Many children with cerebral palsy have myopia or strabismus, and esotropia is more common. Hearing loss is more common in athetoid cerebral palsy. Children with cerebral palsy often have difficulty discerning the rhythm of sounds.

6.Disorders of growth and development:

Some children with mild cerebral palsy can grow and develop basically or close to normal, but most children with cerebral palsy are shorter than normal children of the same age, and their growth and development are backward.

7.Disorders of Dental Development:

Most of the teeth of children with cerebral palsy are underdeveloped, and the teeth are loose, easy to break, and easy to decay, and the incidence of various dental diseases is higher than that of normal children.

8.Oral and facial dysfunction:

Some children with cerebral palsy have significant spasms or uncoordinated contractions of the facial and tongue muscles, resulting in difficulty chewing and swallowing, mouth closure, and drooling.

9.Emotional and Behavioral Disorders:

Many children with cerebral palsy, especially those with athetoid type and children, are stubborn and willful, with large mood swings, sentimentality and irritation, and some are even withdrawn and unsociable. Abnormal behaviors are manifested as (1) compulsive behavior: self-forcing oneself to do a certain action.

2) Self-injurious behavior: hitting oneself or hitting the wall with one's head. (3) Acts of Aggression:

Assault on others, but less commonly.

The above is the answer to the clinical symptoms of cerebral palsy, I hope it will be helpful to you.

Problem analysis: Cerebral palsy is a non-progressive permanent brain injury to the nervous system of infants and young children, and its clinical symptoms are different according to the location of the injury.

Suggestions: Common types are: spasmodic (high muscle tone of the limbs, severe lower limbs, scissor gait and pointed feet, etc.), athetotic type (involuntary twisting of the head and hand trunk), ataxia type (fine motor skills, poor balance), mixed type, etc.

At the same time, if the symptoms of cerebral palsy are severe, it can also be accompanied by language and intellectual disability.