Part II Cerebral Palsy – The symptoms that can occur with this disease!

 

 THE SYMPTOMS YOU CAN COME ACROSS WITH CP:  It all depends what area of the cerebral cortex has been damaged with what extent.

In some cases, the cerebral motor cortex hasn’t developed normally during fetal growth. In others, the damage is a result of injury to the brain either before, during, or after birth. In either case, the damage is not repairable and the disabilities that result are permanent.

Know the early signs and symptoms of Cerebral Palsy, if possible:

Some early warning signs:

In a Baby Younger Than 6 Months of Age

  • His head lags when you pick him up while he’s lying on his back
  • He feels stiff
  • He feels floppy
  • When you pick him up, his legs get stiff and they cross or scissor

In a Baby Older Than 6 Months of Age

  • She doesn’t roll over in either direction
  • She cannot bring her hands together
  • She has difficulty bringing her hands to her mouth
  • She reaches out with only one hand while keeping the other fisted

In a Baby Older Than 10 Months of Age

  • He crawls in a lopsided manner, pushing off with one hand and leg while dragging the opposite hand and leg
  • He cannot stand holding onto support

In some cases, the cerebral motor cortex hasn’t developed normally during fetal growth. In others, the damage is a result of injury to the brain either before, during, or after birth. In either case, the damage is not repairable and the disabilities that result are permanent.

Children with CP exhibit a wide variety of symptoms, including:

  • lack of muscle coordination when performing voluntary movements (ataxia);
  • stiff or tight muscles and exaggerated reflexes (spasticity);
  • weakness in one or more arm or leg;
  • walking on the toes, a crouched gait, or a “scissored” gait;
  • variations in muscle tone, either too stiff or too floppy;
  • excessive drooling or difficulties swallowing or speaking;
  • shaking (tremor) or random involuntary movements;
  • delays in reaching motor skill milestones; and
  • difficulty with precise movements such as writing or buttoning a shirt.

The symptoms of CP differ in type and severity from one person to the next, and may even change in an individual over time. Symptoms may vary greatly among individuals, depending on which parts of the brain have been injured. All people with cerebral palsy have problems with movement and posture, and some also have some level of intellectual disability, seizures, and abnormal physical sensations or perceptions, as well as other medical disorders. People with CP also may have impaired vision or hearing, and language, and speech problems.

CP is the leading cause of childhood disabilities, but it doesn’t always cause profound disabilities.  While one child with severe CP might be unable to walk and need extensive, lifelong care, another child with mild CP might be only slightly awkward and require no special assistance. The disorder isn’t progressive, meaning it doesn’t get worse over time. However, as the child gets older, certain symptoms may become more or less evident.

Remember, No two cases are the same!  Varying degrees of injury to different parts of the brain mean that no two children with Cerebral Palsy are exactly alike. Some are so slightly affected that they have no obvious disability. Others may be severely disabled – to the extent that they have limited movement in both arms and legs, are unable to speak, feed themselves or control bladder and bowel movements. Such children will require lifelong care.

 

 

 

 

QUOTE FOR TUESDAY:

“The specific forms of cerebral palsy are determined by the extent, type, and location of a child’s abnormalities. Doctors classify Cerebral Palsy according to the type of movement disorder involved.”

NIH National Institute of Neurological Disorders and Stroke

ITS WORLD CEREBRAL PALSY DAY EVERY!

PART I CEREBRAL PALSY MONTH AWARENESS!

Cerebral Palsy is a damage to a part of the brain and depending where the damage is will tell what symptoms to expect but for starters lets understand what is affected by this disease.

 UNDERSTANDING HOW CEREBRAL PALSY AFFECTS THE HUMAN BODY:

You have parts to the brain dividing it in a simplistic term, right now, take 2 sections:

1=Cerebrum is for thinking, muscular functioning both in our control (ex.muscle movement of our extremities) and not in our control (ex. the indicating of neuro=stimulation to tell the brain it’s time to urinate through neuro impulses from the bladder to the brain who tells us get up and go to the bathroom but through out muscle control we hold it till we get to the toilet).

2= Cerebellum for is for balance.  Cerebellar damage produces disorders in fine movement, equilibrium, posture, and motor learning in humans.

Cerebrum vs Cerebral Cortex

The nervous system is important to control and coordinate all the actions of an organism and transmit signals between different parts of the body. The system is basically made up of specialized cells called neurons. The complexity of the nervous system increases with the complexity of the body of organisms. Most primitive animals like sponges, flatworms have a very simple nervous system while advanced animals like vertebrates have a highly complex nervous system with larger brains. Brain is one of the largest and most amazing organs in an organism that can be categorized under the central nervous system. The human brain can be divided into three categories, namely, forebrain, midbrain and hindbrain. Both the cerebrum and cerebral cortex come under the forebrain.

Cerebrum

Cerebrum is the largest and most prominent part of the human brain. It appears to envelop the rest of the brain as it constitutes 4/5 of its weight. It is split longitudinally into two large, prominent hemispheres; left and right by deep median fissure called ‘cerebral fissure’. These two hemispheres are connected through a horizontal sheet of nerve fibers known as corpus callosum. Each hemisphere is further divided into the frontal, parietal, temporal, and occipital lobes by three deep fissures, namely, central, parieto-occipital and sylvian fissure. Each hemisphere receives sensory input from the contra lateral side of the body and exerts motor control over that side. The basic function of the cerebrum is to control voluntary functions and seat of intelligence, will power, memory, reasoning, thinking, learning, emotions, speech etc.  The cerebrum is made up of 5 regions.  It deals with our sensory and motor and thinking function.

Cerebral Cortex

The layer of gray matter, about 2 to 4 mm thickness, on the outer surface of the cerebrum is called the cerebral cortex. In humans, the cerebral cortex is densely packed with over 10 billion nerve cells (about 10% of all the neurons in the brain) and, therefore, much of the neural activities of the cerebrum take place within this layer.

The outer surface of the cerebral cortex is highly convoluted (twisted or coiled and involved), and this convoluted surface increases the surface area of the cerebral cortex. The ridges of these convolutions are called ‘gyri’ and depressions between them as ‘sulci’. Each region is responsible for a particular function. According to the function or activity, the regions of the cerebral cortex can be divided into three general categories motor, sensory, and associative (they work together).

The motor cortex is generally associated with the movement of body parts and sensory cortex such as auditory cortex, visual cortex etc. is associated with sensory organs. There is a portion of the cerebral cortex which is not occupied by motor and sensory cortices, known as the ‘association cortex’. This region is devoted for higher mental activities, so that in higher primates, especially in humans, it covers 95% of the total cerebral cortex surface.

What is the difference between Cerebrum and Cerebral Cortex?

  • Cerebral cortex is a part of the cerebrum. Cortex means the outer region of an organ.
  • Cerebrum is the largest and most prominent part of the brain (it makes up 4/5 of the brain). Cerebral Cortex is the outer layer of the cerebrum.
  • Cerebrum has both gray and white matter while the gray part of it is considered the cerebral cortex.
  • Human cerebral cortex is made up of approximately 10 billion nerve cell bodies and their dendrites=the branching process of a neuron that conducts impulses toward the cell to allow a function to take place that the cerebral cortex does; whereas the cerebrum has both cell bodies and nerve fibers.

The part affected in Cerebral Palsy is the Cerebral Cortex.

Cerebral palsy (CP) refers to a group of neurological disorders that appear in infancy or early childhood and permanently affect body movement and muscle coordination Cerebral palsy (CP) is caused by damage to or abnormalities inside the developing brain that disrupt the brain’s ability to control movement and maintain posture and balance. The term cerebral refers to a part of the brain=cerebrum; palsy refers to the loss or impairment of motor function (in varying intensities).  Remember each pt diagnosed with this is unique with problems and intensities but maybe similar to some who have it also.

Cerebral palsy affects the motor area of the brain’s outer layer (called the cerebral cortex), the part of the brain that directs muscle movement.

In some cases, the cerebral motor cortex hasn’t developed normally during fetal growth. In others, the damage is a result of injury to the brain either before, during, or after birth. In either case, the damage is not repairable and the disabilities that result are permanent.

Cerebral Palsy is a condition in which there may be abnormal brain development or injury to the brain as it develops. This can occur before, during, after birth or during early childhood.

It is the brain’s control over various sensory, muscle or co-ordination functions that is affected. So, although there is no injury to the hands or legs themselves, a child with Cerebral Palsy may not be able to walk or move his or her hands in a co-ordinated purposeful way.

Depending on which part of the brain is affected, the Cerebral Palsied person may not be able to talk, see, hear or understand normal thought processes.

Children with Cerebral Palsy have difficulties in controlling muscles and movements as they grow and develop. The nature and extent of these difficulties may change as children grow but Cerebral Palsy itself is not progressive: the injury or impairment in the brain does not change. However, the effects of the brain injury on the body may change over time for better or worse.

Physiotherapy and other therapies can often help people with Cerebral Palsy reach their full potential and become more independent. Therefore, children with Cerebral Palsy will often be referred to a therapist or see a multi-disciplinary team. Depending on the precise area of the brain that is affected, there may be associated difficulties which become obvious during development; for example, in vision, hearing, learning and behaviour.

THERE ARE NO 2 CASES THAT ARE THE SAME!

 

QUOTE FOR MONDAY:

“Sudden infant death syndrome (SIDS) is the unexplained death, usually during sleep, of a seemingly healthy baby less than a year old. SIDS is sometimes known as crib death because the infants often die in their cribs.
Although the cause is unknown, it appears that SIDS might be associated with defects in the portion of an infant’s brain that controls breathing and arousal from sleep.
Researchers have discovered some factors that might put babies at extra risk. They’ve also identified measures you can take to help protect your child from SIDS. Perhaps the most important is placing your baby on his or her back to sleep.”
MAYO CLINIC

QUOTE FOR THE WEEKEND:

“The month of October is Down Syndrome Awareness Month. Down syndrome or Down’s syndrome, also known as trisomy 21, is a genetic disorder caused by the presence of all or part of a third copy of chromosome 21. It is usually associated with physical growth delays, mild to moderate intellectual disability, and characteristic facial features.”

MAYO CLINIC

QUOTE FOR FRIDAY:

”Exploding head syndrome, medically referred to as episodic cranial sensory shock, can be experienced a few ways, and is generally painless. It’s an eye-catching name for something, that’s for sure, but exploding head syndrome, or EHS, is a real parasomnia that people experience either as they fall asleep or wake up.”.
 
Nightcap by Shirley Weaver – Cather www.tuftandneedle.com

QUOTE FOR THURSDAY:

Spina Bifida is the most common permanently disabling birth defect that is associated with life. Approximately 166,000 individuals in the America have Spina Bifida.  It’s a type of neural tube defect that occurs when a baby’s neural tube fails to develop or close properly – the literal meaning for Spina Bifida is “split spine.” Typically occurring within the first 28 days of pregnancy while the neural tube is forming, Spina Bifida often occurs before a woman knows she is pregnant. Commonly referred to as the “snowflake condition” of birth defects because no two cases are the same.”
 
Spina Bifida Association (https://www.spinabifidaassociation.org)
 
 

QUOTE FOR WEDNESDAY:

“Unfortunately, there are currently no treatments for prion diseases, brain-wasting diseases that are invariably fatal. The most common human prion disease is Creutzfeldt-Jakob disease (CJD), better known as mad cow disease.  This disease is rare in humans.  Worldwide, there is an estimated one case of CJD diagnosed per million people each year, most often in older adults. There are 250 people who are inflicted with this in the U.S.”

The Center for Food Safety (https://www.centerforfoodsafety.org )

QUOTE FOR TUESDAY:

“The word BSE is short but it stands for a disease with a long name, bovine spongiform encephalopathy. “Bovine” means that the disease affects cows, “spongiform” refers to the way the brain from a sick cow looks spongy under a microscope, and “encephalopathy” indicates that it is a disease of the brain. BSE is commonly called “mad cow disease.”

U.S. Food and Drug Administration (https://www.fda.gov)

QUOTE FOR THE WEEKEND:

“Approximately 36,000 units of red blood cells are needed every day in the U.S. Nearly 21 million blood components are transfused each year in the U.S. Although an estimated 38 percent of the U.S. population is eligible to donate blood at any given time, less than 10 percent of that eligible population actually do each year. The blood type most often requested by hospitals is type O (the universal donor).”


American Red Cross (www.redcross.org)