Child Neurology Division, Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.
Indian J Pediatr. 2018 Nov;85(11):1006-1016. doi: 10.1007/s12098-017-2475-1. Epub 2017 Nov 20.
Cerebral palsy (CP) is a neurodevelopmental disorder characterized by abnormalities of muscle tone, movement and motor skills, and is attributed to injury to the developing brain. The clinical features of this entity evolve over time and the specific CP syndrome may be recognizable only after 3-5 y of age; although suggestive signs and symptoms may be present at an earlier age. The management involves neurological rehabilitation (addressing muscle tonal abnormalities, and devising physical and occupational therapies) and diagnosis and management of co-morbidities (including epilepsy, impairment of cognition, vision, hearing, and disturbances of growth and gastrointestinal function). The management, therefore, is multidisciplinary involving the treating physician working with a team of rehabilitation-, orthopedic-, psychologic-, and social care- providers.
脑性瘫痪(CP)是一种神经发育障碍,其特征为肌肉张力、运动和运动技能异常,归因于发育中大脑的损伤。该疾病的临床特征随时间而演变,特定的 CP 综合征可能仅在 3-5 岁后才能识别;尽管在更早的年龄可能存在提示性的体征和症状。治疗包括神经康复(解决肌肉张力异常,并制定物理和职业疗法)和共病的诊断和管理(包括癫痫、认知障碍、视力、听力障碍以及生长和胃肠道功能障碍)。因此,治疗是多学科的,涉及主治医生与康复、骨科、心理和社会护理提供者团队合作。