What Is Dyskinetic Cerebral Palsy?

Congenital cerebral palsy is also commonly referred to as congenital cerebral palsy. It refers to non-progressive brain injury and developmental defect syndrome caused by some reasons before and after birth. Posture abnormalities and central dyskinesia are the main manifestations of the disease. Occasionally Some patients are accompanied by symptoms such as behavioral abnormalities, mental retardation, and sensory disturbances. No matter how the condition changes, the central nervous system's lesions are constant. There are many causes of congenital cerebral palsy, and the clinical manifestations are diverse, which is one of the difficult topics in clinical research.

Congenital cerebral palsy is also commonly referred to as congenital cerebral palsy. It refers to non-progressive brain injury and developmental defect syndrome caused by some reasons before and after birth. Posture abnormalities and central dyskinesia are the main manifestations of the disease. Occasionally Some patients are accompanied by symptoms such as behavioral abnormalities, mental retardation, and sensory disturbances. No matter how the condition changes, the central nervous system's lesions are constant. There are many causes of congenital cerebral palsy, and the clinical manifestations are diverse, which is one of the difficult topics in clinical research.

Western Medicine Name

Congenital cerebral palsy

English name

congenital cerebral palsy

Affiliated Department

Internal Medicine-Neurology

Disease site

brain

The main symptoms

Movement disorders, mental retardation

Main cause

Premature birth, poor brain development

Multiple groups

Newborn, premature, child

Contagious

Non-contagious

Whether to enter health insurance

Yes

Common types

Spastic, mixed, tonic, and slow-moving

Causes of congenital cerebral palsy and corresponding diseases

The risk factors of congenital cerebral palsy are as follows.

1.Maternal factors

Maternal factors are an important factor leading to cerebral palsy before birth. Workers and farmers account for a larger proportion of mothers' occupations; mothers who are too old or too young will increase the incidence of cerebral palsy. The poor nutrition of the mother during pregnancy leads to immature development of the fetal brain and other organs and tissues, further damage to the central nervous system, and the occurrence of cerebral palsy. Induced abortion increases the risk of cerebral palsy.

2. Anemia during pregnancy

Anemia during pregnancy is also an important risk factor for cerebral palsy, suggesting that maternal prenatal adverse factors may increase the risk of cerebral palsy.

3.Newborn weight

Newborn weight is one of the main factors affecting the birth of children with cerebral palsy. The incidence of low birth weight children and giant children is 17.041 times and 7.249 times of normal weight children. It is not difficult to see that low birth weight children are children with congenital cerebral palsy. One of the most common diseases, the occurrence of this disease is mostly related to the immature development of the fetus, and its cause is very similar to premature birth.

4.Ischemic hypoxic encephalopathy, asphyxia at birth, pathological jaundice, and intrauterine distress

Ischemic hypoxic encephalopathy, birth asphyxia, pathological jaundice, and intrauterine distress are all factors influencing the birth of children with congenital cerebral palsy. Several risk factors have an increased incidence of 9.814 times, 15.132 times, 12.343 times, and 23.251 times. When ischemia and hypoxia occur, blood pressure begins to increase significantly, and blood flow changes accordingly, and the regulating function of cerebral blood vessels at this stage is gradually weakening. When the blood pressure and blood flow return to normal ranges, the cerebral blood vessels will remain in their original state, eventually leading to hypoperfusion, which can also induce ischemic hypoxic encephalopathy alone; when the blood pressure gradually increases and blood pressure starts to increase, In order to achieve timely contraction of blood vessels, hyperperfusion occurs, and intracranial hemorrhage and cerebral edema often occur during this occurrence. The occurrence of hypoxia in the womb of a fetus is called intrauterine distress. If hypoxia occurs during labor and childbirth, it will aggravate the symptoms during pregnancy and eventually lead to cerebral palsy.

5.Other

For pregnant women who use mobile phones during pregnancy, the large amount of radiation generated by mobile phones may lead to the birth of children with cerebral palsy. The rate of miscarriages and fetal malformations of pregnant women due to electromagnetic radiation increases year by year. In order to ensure the birth of healthy babies, pregnant women should pay attention to the improvement of their own knowledge, so as to prevent the invasion of viruses and bacteria; let alone the abuse of antipyretic and analgesics and antibiotics. Taking such drugs during this period increases the incidence of children with congenital cerebral palsy. If a major event occurs during pregnancy, the pregnant woman will have tremendous psychological pressure, which will affect the development of the fetus.

Differential diagnosis of congenital cerebral palsy

The manifestations of cerebral palsy vary depending on the cause and type, but they are more common in the early stages:

Softening of the body and reduced spontaneous movement are symptoms of low muscle tone, which can be seen in one month. If it lasts for more than 4 months, it can be diagnosed as severe brain damage, mental retardation, or muscular system disease.

The body is stiff, which is a symptom of hypertonia, which can be seen in one month. Cerebral palsy can be diagnosed if it lasts more than 4 months.

Unresponsiveness and no-response are early manifestations of mental retardation. Generally, it is considered that the response is unresponsive at 4 months and no-response at 6 months, which can be diagnosed as mental retardation.

Abnormal head circumference: Head circumference is an objective indicator of brain morphological development. Children with brain injury often have abnormal head circumference.

Poor weight gain and weak breastfeeding.

The fixed posture is often caused by abnormal muscle tension due to brain injury, such as angled bow reflexion, frog position, inverted U-shape posture, etc. Visible one month after birth.

Do not laugh: If you can't smile for 2 months and can't laugh out loud for 4 months, you can be diagnosed as mentally retarded.

Hand fist: if it can not be opened for 4 months, or the thumb is adducted, especially the presence of one upper limb, it has important diagnostic significance.

Body torsion: If the baby is 3-4 months old, it usually indicates extrapyramidal injury.

Head instability: If the head cannot be raised for 4 months or the head is not vertical when sitting, it is often an important sign of brain injury.

Strabismus: Infants with 3-4 months have strabismus and poor eye movement, suggesting the presence of brain damage.

Can not reach for grasping objects: if 4-5 months can not reach for grasping objects, can be diagnosed as mental retardation or cerebral palsy.

Gaze hand: still present after 6 months, it may be considered as mental retardation. Some brain injuries are mild and often asymptomatic in early infancy, but in the second half (6-12 months).

Congenital cerebral palsy treatment principles

1. Drug treatment

All were given Zhuri immune activation powder orally, mildly 2 capsules, 2 times / d; moderately, 6 capsules, 2 times / d; severe 6 capsules, 3 times / d.

2. Exercise Therapy

Pushing a four-wheeled vehicle: 8 hours of daily practice, 4h in the morning, 4h in the afternoon, from two-handed to one-handed, and finally left the car and walk independently. Lifting ring practice method: Take two 5m long ropes, one end is fixed, and the patient pulls the other end; you can also use the self lifting ring practice method, pull the ring with both hands, the body is vertical, and your legs are lifted. Standing practice method: practice standing on flat ground first, then stand on double stools, then stand on the stool with bricks, or stand on one leg. Tai Chi Exercise: Take a Tai Chi ball, the patient stands on the ball and maintains balance. Wall walking method: walking on a wall 5cm long, 10cm wide and 40cm high. Iron board bridge: The patient's shoulders and feet are placed on a stool, the body is lying flat and kept suspended. Lying rope method: There are single rope lying method and double rope lying method. The above method is based on different medical conditions and exercises step by step.

Language therapy

Every day, a nurse conducts language training to the patient one by one, and instructs the patient to practice pronunciation and word reading for 1 hour each day.

4. Stylistic Therapy

Lead children to play games every day, such as fishing, drumming, passing, ringing, etc., to arouse children's interest in practicing cerebral palsy and improve their overall adaptability.