Cerebral palsy: not always what it seems

Cerebral palsy (CP) is not a disease, but a neurological syndrome, a combination of signs and symptoms, some of which may occur in neurodegenerative or metabolic disorders, particularly those with an onset in the first 2 years of life. There are many different causes of the syndrome. All children wi...

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Bibliographic Details
Published in:Archives of disease in childhood 2019-08, Vol.104 (8), p.809-814
Main Authors: Appleton, Richard E, Gupta, Rajat
Format: Article
Language:English
Subjects:
Ataxia
Ataxia - etiology
Babies
Brain
Brain injury
Cerebral palsy
Cerebral Palsy - diagnosis
Cerebral Palsy - genetics
Child
Child, Preschool
Children
Children & youth
Clinical Diagnosis
Cognition & reasoning
Cognitive ability
Congenital diseases
Convulsions & seizures
Dehydrogenases
Developmental Delays
Developmental disabilities
Diagnosis, Differential
Dystonia
Dystonia - etiology
Family (Sociological Unit)
Fibroblasts
Genes
Genetic Disorders
Genetics
Glycoproteins
Humans
Magnetic resonance imaging
Metabolic disorders
Metabolism
Microcephaly
Muscle Weakness - etiology
Muscular dystrophy
Mutation
Mutation - genetics
Neonates
neonatology
neurodisability
Neurological complications
Neurological diseases
Neurological Impairments
neurology
NMR
Nuclear magnetic resonance
Paralysis
Pediatrics
Physical Disabilities
Psychomotor Disorders - etiology
Quadriplegia - etiology
Review
Spasticity
Thinking Skills
Visual Impairments
Young Children
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Description
Summary:Cerebral palsy (CP) is not a disease, but a neurological syndrome, a combination of signs and symptoms, some of which may occur in neurodegenerative or metabolic disorders, particularly those with an onset in the first 2 years of life. There are many different causes of the syndrome. All children with CP should undergo brain MRI, even with an identified antenatal or perinatal insult. Children with CP should be referred to a paediatric neurologist or a clinical geneticist, or both, if appropriate and particularly in the absence of a known perinatal cerebral insult, with brain MRI that is reported to be normal, a progression in, or new, signs or where there is a reported ‘family history of CP’. Finally, a few of the CP syndromes may be readily treatable and potentially prevent irreversible neurological and cognitive impairment.
ISSN:0003-9888
1468-2044
DOI:10.1136/archdischild-2018-315633