Cerebral palsy

Clinic

• CP is the most common motor disability in childhood.
• Cerebral means having to do with the brain. Palsy means weakness or problems with using the muscles.
• CP is caused by abnormal brain development or damage to the developing brain that affects a person's ability to control his or her muscles.

Types

CP is a group of movement disorders that appear in early childhood. It has four main types

1. Spastic CP
2. Dyskinetic CP (Also includes athetoid, choreoathetoid, and dystonic CP)
3. Ataxic CP
4. Mixed CP

Spastic CP

• It is the most common type of CP, affects about 80% of people with CP.
• Increased muscle tone, Muscle stiffness which results in Awkwardness.
• Spastic CP usually is described by what parts of the body are affected
• It has two subtypes
  1. Spastic Diplegia/ Diparesis: Muscle stiffness is mainly in the legs, with the arms less affected or not affected at all. People with spastic diplegia might have difficulty walking because tight hip and leg muscles cause their legs to pull together, turn inward, and cross at the knees.
  2. Spastic Hemiplegia/ Hemiparesis: This type of CP affects only one side of a person’s body; usually the arm is more affected than the leg.
  3. Spastic quadriplegia/quadriparesis―Spastic quadriplegia is the most severe form of spastic CP and affects all four limbs, the trunk, and the face. People with spastic quadriparesis usually cannot walk and often have other developmental disabilities such as intellectual disability; seizures; or problems with vision, hearing, or speech.

Entity/ Miasm

	JE	RBL	PLV
Paralysis spastic	+++	+++	+++
Hemiparesis	+++
Paralysis spastic diplegic		+++
Quadriplegia			+++

Dyskinetic Cerebral Palsy

• It also includes Athetoid, Choreoathetoid, and Dystonic cerebral palsies
• People with dyskinetic CP have problems controlling the movement of their hands, arms, feet, and legs, making it difficult to sit and walk.
• The movements are uncontrollable and can be slow and writhing or rapid and jerky.
• Sometimes the face and tongue are affected and the person has a hard time sucking, swallowing, and talking.
• A person with dyskinetic CP has muscle tone that can change (varying from too tight to too loose) not only from day to day, but even during a single day.

Entity/ Miasm

ChoreAthetosis
Incoordination
Ext, Awkward
Gait abnormality
Rgidity

Remedies

• Agar

Banerji protocols
First line	6 month Aeth C200 one dose every third day CP 3X BD	In Epileptic case Cupr C6 BD
Second line	Bar-c C200 one dose every third day CP 3X BD
Third line	Lach C200 one dose every two day CP 3X BD