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35 Cards in this Set

  • Front
  • Back

Cerebral Palsy

A nonprogressive condition of the CNS occurring before, during, or shortly after birth that interferes with the development of the immature brain and results in a loss or impairment in motor function

Hydrocephalus

An abnormal increase in cerebrospinal fluid (CSF) that results in an increase in intracranial pressure and enlargement of the ventricles



"Water on the brain"

Spina Bifida

Developmental disorder characterized by an incomplete closure of the neural tube and/or vertebral arches



This defect of the vertebral arches of the spinal column is present at birth

Fetal Alcohol Syndrome

A condition that causes growth, mental, and physical problems that results from alcohol exposure during a mother's pregnancy

When can Cerebral Palsy happen?

Prenatally, perinatally, postnatally

What is the most common perinatal event leading to CP?

Asphyxia

Majority of CP cases occur when?

Prenatally

What are the three types of classification used for CP?

1. Severity of motor deficit


2. Number of extremities and which extremities are involved


3. Types of motor control problems

CP: Severity of motor deficit can be classified into these 3 categories

Mild, moderate, or severe

CP: monoplegia

One extremity

CP: hemiplegia

One side of the body

CP: paraplegia

Lower extremities only

CP: quadriplegia

All four extremities and trunk

CP: diplegia

Lower extremities more involved than upper extremities

CP: name the 4 types of motor control problem classifications

Spastic


Diskinetic


Ataxic


Mixed

Spastic CP

Involves increased muscle tone



Site of lesion: motor cortex

Diskinetic CP includes:

Athetosis, chorea, and dystonia

Athetosis

Slow writhing movements

Chorea

Rapid, irregular involuntary movements

Dystonia

Repetitive pattern, twisting, sustained type movements

Diskinetic CP

Involves involuntary movement



Siste of lesion: Basal ganglia

Ataxic CP

Involves coordinated movement (balance/coordination)



Site of lesion: cerebellum

Mixed CP

Impairments fall into more than one category



Most common mixed: some limbs affected by spasticity and some limbs affected by athetosis

Communicating hydrocephalus

CSF flows freely



There is a defect in:


-Absorption of CSF by arachnoid villi


-Over production of fluid by choroid plexus

Non-communicating hydrocephalus

Obstruction of passageway



Obstruction can be at


-Cerebral aqueduct


-Atresia (closure) of the 4th ventricle

Medical management for hydrocephalus

Shunts



Excision or cauterization of choroid plexus

Types of shunts for hydrocephalus

Ventriculoclavical shunt


Ventriculoatrial shunt


Ventricular peritoneal shunt (most common)

The common location for Spina Bifida

Lumbar sacral region

Different types of Spina Bifida

Spina Bifida Occulta


Meningocele


Myelomeningocele



Encephalocele


Syringomyelocele


Spina Bifida Occulta

Mildest type



Defect in vertebral arches only

Meningocele

Sac of menages protrudes through the bony opening



Spinal cord is not in this sac



Little or no nerve damage

Myelomeningocele

Most serious type



Spinal cord and meninges protrude in the sac through the bony opening



Part of the spinal cord and nerves are damaged



Paralysis and sensory loss below lesion

Encephalocele

Less common type of spina bifida



Protrusion of the brain due to defect in the occipital areas of the skull

Syringomyelocele

Less common type of spina bifida



Closed but dilated central canal of the spinal cord

Characteristic facia features of fetal alcohol syndrome

Narrow, small eyes with large epicanthal folds


Small head


Small upper jaw


Smooth groove in upper lip


Smooth and thin upper lip