2016년 12월 22일 목요일

Cerebral palsy

Cerebral palsy

Cerebral palsy
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Exercise road
A classification and outside reference information
ICD-10 G80
ICD-9-CM 343
OMIM 603513 605388
DiseasesDB 2232
eMedicine neuro/533 pmr/24
Patient UK Cerebral palsy
MeSH D002547

The cerebral palsy (I get out and am and am paralyzed British: Cerebral palsy, CP) is a syndrome to let you do the obstacle of the exercise of brain function caused by the damage which you received for some kind of causes from the fertilization to four weeks after birth.

Table of contents

Summary

It is said that approximately 70% of motor deficit, the limbs inconvenience person causes an obstacle for cerebral palsy.

In addition, a thing due to the gene abnormality and the thing which developed four weeks after birth later, a temporary thing, the progressive thing are not included in cerebral palsy.

Cause

Causes of the cerebral palsy include perinatal suspended animation, low weight birth, nuclear jaundice. However, the condition of a patient, cause and incidence changed by in late years perinatal medical care having suddenly developed.

The cause of the cerebral palsy is distributed after birth the developing in the womb period, the perinatal period depending on time of the etiology outbreak of the brain disorder.

Cause of the developing in the womb period
  • Brain dysplasia that a problem produces in a process of the outbreak of the brain
  • Cerebral hemorrhage
  • Ischemia-related brain disorder
Perinatal cause
  • Fetal distress
  • Asphyxia neonatorum
  • Nuclear jaundice
  • Periventricular white matter malacia (PVL)
Postnatal cause

Measures

There is the system that does diagnostication of compensation and the cerebral palsy for the severe cerebral palsy child that developed in conjunction with delivery by the obstetrics medical care compensation system that Japan Council for Quality Health Care enforces in Japan, and prevents a future recurrence.

Classification

By the damage part of the brain, I am classified in following four types.

Athetoid model
I am characterized by involuntary movement with the case that basal nuclei were damaged.
  • There is characteristic 1 - involuntary movement. The thing due to the extrapyramidal system disorder.
  • There is not the sthenia of characteristic 2 - tendon reflex. The morbid reflection does not appear. There is primitive reflection, disappearance abnormality of the static reflex.
  • It depends on the degree of characteristic 3 - obstacle, but the arthrogryposis is not generally caused. A contracture may be caused by muscle tonus.
  • It is significant characteristic 4 - speech impediment. There are starting words, difficulty of instability, the sense of cooperation of the campaign by the excessive unrest of motor deficit, the muscle tonus for utterance.
  • As for characteristic 5 - intellectual development, normalcy is often kept. There are few delays of the development more intellectual than a spasticity type.
    • Even if the person wants to perform some kind of actions when characteristic 5' - intellectual development is normal, I am apt to have frustration in a body not moving just as wanted.
  • I am often complicated with characteristic 6 - sound perception-related hearing loss.
Atactic model
I am characterized by quadriplegia, exercise instability with the case that cerebellum or the conducting pathway was damaged.
Spasticity type
With the case that a higher motor neuron was damaged, I am characterized by sthenia of the muscle tonus of limbs, and a clasp knife phenomenon is seen. I am classified in the single paralysis, paraplegia, quadriplegia, both paralysis by the part where an obstacle appears. I am often complicated with sight, cognitive impairment, squint.
固縮型
I have an extrapyramidal disability, and quadriplegia develops. Because of strong and sustained muscle tonus, the movement of the joint becomes the gear state.
Mixed type
Incorruptibility refers to a case having both involuntary movements.

Old days had many "athetoid models, too", but a medical technological change has allowed the survival of the low birth weight child, and "a spasticity type" is the main constituent. In addition, it is often caused by nuclear jaundice, perinatal suspended animation with the athetoid model. In addition, "the athetoid model" decreased by progress of the management of the nuclear jaundice including the phototherapy for 1:00 period, but, in the after 1990s, a case with this type of cerebral palsy appears by a low bilirubin blood symptom and bleeding of intraventricular (the brain) in a low birth weight child and shows a tendency toward the increase again.

Complications

Celebrity

Allied item

  • The sports that it is said to that I was devised for a cerebral palsy patient by boccia - master.
  • A classification of the disease severity of the GMFCS - cerebral palsy.
  • A person with a disability group of cerebral palsy in meeting - Japan of the national blue turf.

Outside link

This article is taken from the Japanese Wikipedia Cerebral palsy

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