Spastic diplegia cerebral palsy affects nearly 70 to 80 percent of patients and is the most common form of cerebral palsy. The disorder itself will not worsen, although associated conditions may increase in severity over time. Mesh d009128 2 spastic diplegia, historically known as littles disease, is a form of cerebral palsy cp that is a chronic neuromuscular condition of hypertonia and spasticity in the muscles of the lower extremities of the human body, usually those of the legs, hips and pelvis. Spastic diplegia cerebral palsy genetic and rare diseases nih. A comparison of spastic diplegic and tetraplegic cerebral palsy.
Spastic diplegia cerebral palsy is caused by brain damage in the outer layer of the brain, the cerebral cortex. Spastic diplegia cerebral palsy occurs when the portion of the brain that controls movement is damaged or develops abnormally. Bilateral spastic cerebral palsy including diplegia and quadriplegia is by far the most common form of cp. Diplegic spastic cerebral palsy management in late.
Child affected with severely spastic diplegic cerebral palsy can walk duration. Individuals with spastic cerebral palsy may experience stiffness in their muscles, making movement difficult and in some cases even impossible. Spastic cerebral palsy is the most common motor type of cerebral palsy. This usually occurs before birth, but can happen at any time while the brain is still developing usually before age 2. Children with spastic quadriplegia have greater degree of cognitive impairment than children with spastic hemiplegia. Diplegic spastic cerebral palsy management in late adolescent. Pdf cerebral palsy is nonprogressive motor disability which is caused by.
Patient is having spastic cerebral palsy and his treatment is head control facilitation, rolling facilitation, trunk control facilitation on bobath ball to g. Policy manual patient matters manual for public health organisations. This condition prevents the normal development of motor function. For the comparison of gait improvement, independent ambulatory spastic diplegic patients who had undergone only endoscopic transverse vulpius gastrocsoleus recession on both legs were selected. Cerebral palsydefinition, classification, etiology and. Spasticity is a type of hypertonia, and in cp it is caused by damage to the motor cortex of the brain. There is currently no cure for spastic diplegia or any other type of cerebral palsy. Spastic cp is characterized by jerky movements, muscle tightness and joint stiffness. Pvl presents as diplegia and accounts for about 70% of cp in babies born before. Spastic tetraplegia % and mixed % were most common form of cerebral palsy followed by spastic diplegia 11% dyskinesia 2% and do not know 2% were least common. Spastic diplegia, the mo st prevalent form of cerebral palsy, is characterized by moto r incoordination, primarily in the lower extremities, that impairs many functional abilities. The present study concluded that spastic tetraplegia and mixed cerebral palsy have maximum disability.
Tightness and stiffness of the muscles are the signature symptoms of this form of cerebral palsy. A collection of disease information resources and questions answered by our genetic and rare diseases information specialists for spastic diplegia cerebral. Factors related to longer seizure free period in epileptic children having cerebral palsy are normal intelligence quotient, one seizure type, monotherapy, and spastic diplegic pattern. Spastic diplegia cerebral palsy symptoms, causes, treatment. Bilateral spastic cerebral palsy, spastic quadriplegia and.
Introduction spastic diplegia is a form of cerebral palsy cp where spasticity predominates in the lower extremities with minimal upper extremity involvement. Pdf cerebral palsy is the most common cause of childhoodonset, lifelong physical disability in most. Spastic cerebral palsy causes, symptoms and treatment. Children with spastic diplegic cp are at a lower risk for epilepsy mainly because. Roughly threequarters of all cases of cerebral palsy fall into this category. With early intervention and proper treatment, the prognosis for children with spastic diplegia is favorable. Spastic cerebral palsy is a developmental disorder caused by damage to the brain before birth, during delivery, or within the first few years of life.