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Cerebral palsy - VnExpress Health

VnExpressVnExpress09/10/2023


Cerebral palsy causes multiple disabilities due to brain damage during childhood development; symptoms vary with age and brain development.

This article was professionally reviewed by Dr. Le Minh Lan Phuong, Head of the Outpatient Department, Children's Hospital 1 (Ho Chi Minh City).

What is cerebral palsy?

- This term refers to a group of medical conditions caused by brain damage that does not progress over time.

- Cerebral palsy caused by prenatal, intranatal, and postnatal factors up to the age of 5.

- Cerebral palsy causes multiple disabilities affecting motor skills, mental abilities, sensory perception, and behavior...

Reason

- The prenatal period:

+ Premature birth.

+ Lower than normal weight.

+ Fetal infection.

+ The mother abused medication during pregnancy.

+ Pregnant women may suffer injuries from activities involving strong impacts.

+ Fetal hypoxia.

+ The pregnant woman has preeclampsia.

- The newborn period:

+ Long labor duration.

+ Obstetric trauma.

+ Heart rhythm disorders.

+ Fetal hypoxia (brain hypoxia).

+ The amniotic sac ruptured earlier than expected.

- Postpartum period:

+ Children with cerebral hemorrhage and jaundice.

+ Newborns may show signs of seizures, cerebral hypoxia, head injuries, etc.

Early detection signs of cerebral palsy in children.

- They don't cry immediately after birth, or their cries are weak.

- After a normal delivery, the body becomes flabby and immobile.

- Head drooping, unable to lift.

- Delayed development of motor skills, slow to learn to hold the head and neck, roll over, sit, crawl, etc.

- Loss of balance or lack of muscle coordination, impaired use of the hands for grasping and performing activities.

- It's difficult to hold, bathe, and change clothes for babies because their bodies are stiff.

- Does not recognize mother or other relatives.

- Delayed communication skills and language development.

- Does not turn its head in response to sounds, colorful toys, or look at its mother's or family member's face.

- Unable to listen to conversations, express emotions, show facial expressions, or use their eyes to convey joy.

- Overreaction.

- Difficulty sucking, frequent choking on milk.

- Tremors, involuntary movements.

- Frequent drooling, wheezing, increased nasal and throat secretions, and bowel problems.

- There are superficial sensory disturbances such as heat, cold, and pain.

- Convulsions, unconsciousness, foaming at the mouth.

- Other symptoms: strabismus, drooping eyelids, decreased or lost vision, hearing loss, facial asymmetry...

Diagnose

To date, there is no accurate method for diagnosing cerebral palsy.

- The progression of cerebral palsy is usually monitored over a long period of time to determine its severity.

- Several methods for diagnosing cerebral palsy:

+ CT scan.

+ Electroencephalogram (EEG).

+ Topographic electroencephalogram (BEAM).

+ Electromyography (EMG).

+ Blood-brain impedance diagram (REG).

Treatment

Cerebral palsy is incurable.

Treatment will be undertaken to appropriately alleviate the symptoms and severity of the illness.

Prevent

- While most cases of cerebral palsy are unpreventable, pregnant women can proactively minimize the risks.

If you are pregnant or planning to become pregnant, you must take the following steps to maintain your health and minimize pregnancy complications:

+ Fully vaccinated.

Ensure you are in good health when preparing for pregnancy.

+ Regularly attend prenatal checkups early in your pregnancy.

- Prevent head injuries by using safety equipment and protective gear for children, such as helmets when children ride motorcycles, car seats, bicycle helmets, and safety rails on beds.

- Provide regular supervision when children are playing in areas with vigorous physical activity or potential safety hazards.

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