Cerebral Palsy - Gea

8/18/2019 Cerebral Palsy - Gea

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Cerebral PalsyGea Pandhita S

SMF Saraf – RS Islam Jakarta PondokKopi


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Cerebral Palsy = BrainParalysis

• Denition

• Prevalence

• Etiology• lassications

• linical Presentation

• !reatments• S"#stantially Disa#ling


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Cognitive Dysfunction

Seizures

COMPLICATIONS OF

NEURODEVELOPMENTAL DISORDERS

Motor

Dysfunction

Behavior

Dysfunction


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Cerebral Palsy:Defnition

• ere#ral palsy is a static encep$alopat$y

• Encep$alopat$y % &rain In'"ry t$at is non(progressive disorder of post"re and

movement• )aria#le etiologies

• *ften associated +it$ epilepsy, speec$pro#lems, vision compromise, - cognitive

dysf"nction


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Dr. Janice BrunstromPediatric neurologist specializing in Cerebral Palsy

St. Louis Children's ospital and !ashington "niversity


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Ae! Nico"e Curran

represented #o$a at the Miss "S% &( pageant in Las )egas


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Cerebral Palsy:Prevalence

• .(/012223 4(12,222 ne+ #a#ies eac$yr

• 152 years ago descri#ed #y Dr6 7ittle

an ort$opedic s"rgeon and kno+n as7ittle*s Disease

• D"ring past 8 decades considera#le

advances made in o#stetric - neonatalcare, #"t "nfort"nately t$ere $as #eenvirt"ally no c$ange in incident of P


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Cerebral Palsy:Classifcation

• )ario"s classications of ere#ralPalsy

• P$ysiologic

• !opograp$ic

• Etiologic


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Cerebral Palsy:Physiologic

• 9t$etoid• 9ta:ic

• Rigid(Spastic

• 9tonic• Mi:ed


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Cerebral Palsy:Topographic

• Monoplegic

• Paraplegic

• ;emiplegic• !riplegic

•


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• Diplegic


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• ;emiplegic


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•


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Cerebral Palsy: Etiologic

• Prenatal =42>?Infection, ano:ia, to:ic, vasc"lar, R$disease, genetic, congenital

malformation of #rain• @atal =5(12>?

9no:ia, tra"matic delivery, meta#olic

• Post natal !ra"ma, infection, to:ic


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ere#ral PalsyAlinical Presentation

• Remem#er t$at motordevelopmental progression is fromB6

;ead to !oe


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Early markers o CP

• S7*C $ead gro+t$

• Poor $ead control

• Eye – roving eyes, poor$and regard, persistent

s"int6• Ear – lack of a"ditory

response

• Irrita#ility, sei"res, poor

s"ck, poor "ality ofsleep6

• E:treme sensitivity tolig$t

• ortical t$"m# #eyond +eeks

• ;andedness #efore . yrs

• Pa"city of lim# movements

• Scissoring of lo+er lim#s• !oe +alking

• 9#normal tone

• Persistence o primitivere!e"es or ail#re toac$#ire post#ral re!e"es

• Stereotypic a#normalmovements

• 7ack of alertness


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Pemeriksaan


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Pemeriksaan

• !$omas test


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Pemeriksaan

• ElyGs test


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Pemeriksaan

• Sta$eli test


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Pemeriksaan


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Pemeriksaan


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Pemeriksaan


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Pemeriksaan


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Pemeriksaan


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ere#ral PalsyAomplications

• Spasticity

• Ceakness

• Increase reHe:es

• lon"s

• Sei"res

• 9rtic"lation -

S+allo+ingdic"lty

• )is"al compromise

• Deformation

• ;ip dislocation

• Kyp$oscoliosis

• onstipation

• rinary tract

infection


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# l l


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ere#ral PalsyAManagement

• @e"rologic and P$ysiatric

• *! and P!

• Speec$• 9daptive e"ipment

• S"rgical

• R$iotomy, &aclofen p"mps, &oto:in


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ere#ral Palsy

• C$at iss"#stantially

disa#lingere#ral Palsy

• Mo#ility

• omm"nication

• 7earning

• Self are

• Self Direction

• Independent 7iving

• EconomicS"ciency

T i % ih


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Cerebral Palsy - Gea

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