Cerebral palsy history and symptoms

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:

Overview

The majority of patients with [disease name] are asymptomatic.

OR

The hallmark of [disease name] is [finding]. A positive history of [finding 1] and [finding 2] is suggestive of [disease name]. The most common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3]. Common symptoms of [disease] include [symptom 1], [symptom 2], and [symptom 3]. Less common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].

==History and Symptoms==

History

Patients with cerebral palsy may have a positive history of:

Failure to meet the expected developmental milestones
Failure to suppress the primitive reflexes
Intellectual disability or mental retardation
Visual or hearing problems
Speech or language problems
Oromotor dysfunction
Abnormal muscle tone- hypotonia/hypertonia
Definite hand preference before age 1 year
Asymmetric crawling or failure to crawl
Failure to thrive- growth disturbance
Complications associated with cerebral palsy such as
- Pulmonary diseases such as recurrent aspiration and scoliosis^[1]
- Orthopedic disorders^[2]^[3]
- Urinary complications^[4]^[5]
- Osteopenia^[6]^[7]

Type of history	Specific history
Prenatal history	Prenatal exposure to Illicit drugs Toxins Infections Maternal diabetes Acute maternal illness Trauma Radiation exposure Prenatal care Fetal movements Early frequent spontaneous abortions Parental consanguinity Family history of neurologic disease
Perinatal history	Gestational age at birth Presentation of the child and delivery type Birth weight Apgar score Complications in the neonatal period Intubation time Intracranial hemorrhage Feeding difficulties Apnea Bradycardia Infection Hyperbilirubinemia
Developmental history	Significantly delayed gross motor milestones Early hand preference when <1.5 yr old
Family history	Intellectual disability/developmental disabilities Seizures CP Neuromotor/movement disorders Neurobehavioral disorders Joint contractures/stiffness Thromboses/vascular accidents Congenital anomalies Infertility Recurrent miscarriages/stillborns Adult-onset neurodegenerative conditions

Common Symptoms

Common symptoms of Cerebral palsy may include:

Abnormal muscle tone- early hypotonia followed by spasticity
Gross motor developmental delay
Definite hand preference before age 1 year
Failure to crawl
Failure to thrive or growth failure

Less Common Symptoms

Less common symptoms of [disease name] include

[Symptom 1]
[Symptom 2]
[Symptom 3]

References

↑ Reddihough DS, Baikie G, Walstab JE (2001). "Cerebral palsy in Victoria, Australia: mortality and causes of death". J Paediatr Child Health. 37 (2): 183–6. PMID 11328476.
↑ Flynn JM, Miller F (2002). "Management of hip disorders in patients with cerebral palsy". J Am Acad Orthop Surg. 10 (3): 198–209. PMID 12041941.
↑ McCarthy JJ, D'Andrea LP, Betz RR, Clements DH (2006). "Scoliosis in the child with cerebral palsy". J Am Acad Orthop Surg. 14 (6): 367–75. PMID 16757676.
↑ Decter RM, Bauer SB, Khoshbin S, Dyro FM, Krarup C, Colodny AH, Retik AB (1987). "Urodynamic assessment of children with cerebral palsy". J. Urol. 138 (4 Pt 2): 1110–2. PMID 3656569.
↑ Silva JA, Gonsalves Mde C, Saverio AP, Oliveira IC, Carrerette FB, Damião R (2010). "Lower urinary tract dysfunction and ultrasound assessment of bladder wall thickness in children with cerebral palsy". Urology. 76 (4): 942–5. doi:10.1016/j.urology.2010.04.005. PMID 20579700.
↑ Chad KE, McKay HA, Zello GA, Bailey DA, Faulkner RA, Snyder RE (2000). "Body composition in nutritionally adequate ambulatory and non-ambulatory children with cerebral palsy and a healthy reference group". Dev Med Child Neurol. 42 (5): 334–9. PMID 10855654.
↑ Henderson RC, Lark RK, Gurka MJ, Worley G, Fung EB, Conaway M, Stallings VA, Stevenson RD (2002). "Bone density and metabolism in children and adolescents with moderate to severe cerebral palsy". Pediatrics. 110 (1 Pt 1): e5. PMID 12093986.

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[pmid11328476-1] Reddihough DS, Baikie G, Walstab JE (2001). "Cerebral palsy in Victoria, Australia: mortality and causes of death". J Paediatr Child Health. 37 (2): 183–6. PMID 11328476.

[pmid12041941-2] Flynn JM, Miller F (2002). "Management of hip disorders in patients with cerebral palsy". J Am Acad Orthop Surg. 10 (3): 198–209. PMID 12041941.

[pmid16757676-3] McCarthy JJ, D'Andrea LP, Betz RR, Clements DH (2006). "Scoliosis in the child with cerebral palsy". J Am Acad Orthop Surg. 14 (6): 367–75. PMID 16757676.

[pmid3656569-4] Decter RM, Bauer SB, Khoshbin S, Dyro FM, Krarup C, Colodny AH, Retik AB (1987). "Urodynamic assessment of children with cerebral palsy". J. Urol. 138 (4 Pt 2): 1110–2. PMID 3656569.

[pmid20579700-5] Silva JA, Gonsalves Mde C, Saverio AP, Oliveira IC, Carrerette FB, Damião R (2010). "Lower urinary tract dysfunction and ultrasound assessment of bladder wall thickness in children with cerebral palsy". Urology. 76 (4): 942–5. doi:10.1016/j.urology.2010.04.005. PMID 20579700.

[pmid10855654-6] Chad KE, McKay HA, Zello GA, Bailey DA, Faulkner RA, Snyder RE (2000). "Body composition in nutritionally adequate ambulatory and non-ambulatory children with cerebral palsy and a healthy reference group". Dev Med Child Neurol. 42 (5): 334–9. PMID 10855654.

[pmid12093986-7] Henderson RC, Lark RK, Gurka MJ, Worley G, Fung EB, Conaway M, Stallings VA, Stevenson RD (2002). "Bone density and metabolism in children and adolescents with moderate to severe cerebral palsy". Pediatrics. 110 (1 Pt 1): e5. PMID 12093986.

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