Do you know that 1 in 4 children born with cerebral palsy has an underlying genetic condition?
Well, that’s what researchers have found.
Cerebral palsy, a neurological condition that affects movement and coordination, can be puzzling for parents navigating the challenges posed by it. Most of these parents question what caused this – birth complications or genetics.
Not only the parents but when physicians hear about cerebral palsy, the first thing that comes to their mind is asphyxia and birth injury.
Let’s try to solve this puzzle in this blog. But first, we need to understand what exactly it is.
What is cerebral palsy?
Cerebral palsy is a neurological condition that affects a person’s movement and muscle coordination. It’s not a single disorder but a group of conditions caused by damage to the developing brain.
This damage can occur due to various factors, such as infections, lack of oxygen, or genetic mutations.
Individuals with cerebral palsy may experience challenges with balance, posture, and fine motor skills. The severity and symptoms vary widely, ranging from mild difficulties with coordination to severe disability that can affect daily activities.
But one thing you need to remember. Despite its impact on movement, cerebral palsy doesn’t worsen over time, and its effects can be managed with therapies, assistive devices, and supportive care.
If you are a caregiver, understanding the nature of cerebral palsy is important for you to provide appropriate support to those affected by this condition.
Let’s now understand what are the causes of cerebral palsy.
What are the causes of cerebral palsy?
The causes of cerebral palsy can be divided into two main categories.
Causes before and during birth
Here are the causes of cerebral that are related to before and during the birth of a child:
- Preterm (premature) birth:
Babies born before the completion of a full-term pregnancy are at a higher risk of cerebral palsy.
- Congenital malformations:
Disruptions in fetal brain development can lead to congenital malformations contributing to cerebral palsy.
- Strokes
Strokes occurring before or during birth can adversely affect the developing brain, increasing the likelihood of cerebral palsy.
- Infections in the central nervous system
Infections affecting the brain or spinal cord during fetal development may result in cerebral palsy.
- Kernicterus
It is a type of brain damage. Toxic buildup of bilirubin, a chemical made in the liver, causes brain damage.
- Genetic issues
Certain genetic factors can impact fetal development and heighten the risk of cerebral palsy.
- Lack of blood flow or oxygen
Insufficient blood flow or oxygen to the fetal brain, known as asphyxia, can lead to brain damage and cerebral palsy.
- Newborn hypoglycemia
Low blood sugar levels in newborns can contribute to neurological complications.
- Meconium aspiration
Inhaling meconium (the baby’s first stool) into the lungs during birth can lead to respiratory and neurological issues.
Causes after birth
Here are the causes of cerebral that are related to the birth of a child:
- Accidental injuries
Trauma or accidents after birth can result in cerebral palsy.
- Asphyxiation
Oxygen deprivation after birth can cause brain damage and contribute to cerebral palsy.
- Physical abuse
Infants subjected to physical abuse may experience injuries leading to cerebral palsy.
- Jaundice and kernicterus
Severe jaundice, if not properly managed, can result in kernicterus, causing brain damage and increasing the risk of cerebral palsy.
- Infection, strokes, or bleeding
Post-birth infections, strokes, or bleeding in and around the brain can lead to cerebral palsy.
Understanding these varied causes is essential for a comprehensive approach to the prevention, diagnosis, and management of cerebral palsy.
Is cerebral palsy genetic?
The genetic aspects of cerebral palsy point towards a complex interplay between genetic factors and environmental influences. While not purely a genetic condition, research indicates that certain genetic variations and mutations may contribute to an increased susceptibility. Understanding the nuanced relationship between genes and cerebral palsy is crucial for advancing both prevention and intervention strategies.
After evaluating the causes, we can say that cerebral palsy is primarily caused by factors during pregnancy, childbirth, or shortly after birth and is not predominantly a genetic condition. However, some cases may involve genetic factors
What are the symptoms of it?
Cerebral palsy can show up in different ways, and the symptoms can vary from person to person. Here are some common signs:
- Movement Challenges
People with cerebral palsy might have difficulty moving their muscles smoothly. This can affect how they walk, run, or even pick up things.
- Balance Issues
Keeping balance might be tough, making it harder to stand or sit without support.
- Coordination Problems
Coordinating movements, like reaching for an object or writing, might be more challenging.
- Muscle Stiffness or Floppiness
Muscles could be too tight (stiff) or too loose (floppy), making it tough to control movements.
- Trouble Speaking or Eating
Some individuals with cerebral palsy might find it hard to speak clearly or coordinate the muscles needed for eating.
- Delayed Milestones
Children with cerebral palsy might reach developmental milestones (like sitting up or crawling) later than other kids.
- Joint and Bone Issues
There might be problems with joints and bones, leading to discomfort or changes in posture.
You need to remember that cerebral palsy is unique for each person, and the severity of symptoms can vary. Early intervention and supportive therapies can make a significant difference in managing these challenges.
If you notice any of these signs, it’s advisable to consult with a healthcare professional for a proper evaluation and guidance
How to diagnose cerebral palsy?
Consultation with Health provider
If you’re concerned about your child’s development, speak to your health provider. They can refer you to a specialist team for a comprehensive assessment.
Medical History and Development Check
The specialist will inquire about your child’s medical history and development. They will explore any symptoms indicative of cerebral palsy. They may ask about any issues during pregnancy, childbirth, or the immediate postnatal period.
Movement and Learning Assessment:
The specialist will also conduct a thorough assessment of your child’s movements and learning abilities.
Brain Scans
The doctors may recommend one or more of the following scans. To look for signs of cerebral palsy:
- Cranial Ultrasound Scan
Uses sound waves to create an image of the brain.
- MRI Scan
Utilizes magnetic fields and radio waves for a detailed brain image.
- CT Scan
Takes X-ray pictures to create a detailed image of the brain.
Additional Tests
The doctors may ask you to conduct a few more tests:
- Electroencephalogram (EEG)
Small pads on the scalp monitor brain activity to check for signs of epilepsy.
- Electromyogram (EMG)
Tiny needles in muscles and nerves assess their functioning.
- Blood Tests
Conducted to identify problems that may mimic cerebral palsy symptoms.
Time for Diagnosis:
It might take several months or even years for a definitive diagnosis. Some symptoms may only become evident as the child grows older.
It’s important to undergo the recommended assessments to confirm cerebral palsy and rule out other potential causes. Early detection and intervention can significantly improve the management and treatment of life’s cerebral palsy.
It is generally diagnosed in the first or second year after the birth of a child. But if the symptoms are mild, it takes a few years more to diagnose cerebral palsy. It is not a progressive condition, so the symptoms do not worsen over time.
What is the treatment for cerebral palsy?
Physical therapy and rehabilitation are essential to treat cerebral palsy in children. Usually, the child needs these therapies in the early years of life or shortly after diagnosis. Physical therapy focuses on exercises to enhance muscle strength, balance, and movement, with therapists guiding the child in acquiring essential skills like sitting, walking, or using a wheelchair.
Other therapies include
Occupational Therapy
Assisting children in mastering daily activities such as dressing and school-related tasks.
Recreational Therapy
Engaging in art, cultural activities, and sports to enhance physical and intellectual skills.
Speech and Language Therapy
Helping children improve speech clarity, address swallowing issues, and teaching alternative communication methods like sign language or specialized devices.
- Orthotic Devices
Braces, splints, and casts can enhance limb movement and balance, while wheelchairs and walkers aid in posture and mobility.
- Assistive Devices and Technologies
Specialized tools like communication devices, Velcro-fastened shoes, or crutches contribute to daily ease.
The child may need additional interventions which will include medications to relax muscles, surgery for severe cases, or consideration of standard epileptic medications for those with cerebral palsy and epilepsy, balancing potential side effects on the developing brain.
Surgical options range from lengthening stiff muscles to correcting abnormal spine curvature, with careful evaluation of biomechanics before any procedure.
Conclusion
In simple terms, understanding cerebral palsy is like exploring a big maze. Families and people dealing with this condition feel comforted by scientists working hard to solve its mysteries. By using what we know about genes and promising to help early on, we’re making a path for a kinder and smarter way to take care of those with cerebral palsy. It’s like joining hands to make sure everyone has the support they need.
MedicoExperts, a virtual hospital, can be your partner in the cerebral palsy treatment of your child or near and dear ones. Contact us to get all sorts of help in this journey of better health and a better future.
FAQ :
Q1. Can cerebral palsy run in families?
While cerebral palsy is not typically inherited, there can be a slightly higher risk in families with a history of the condition or certain genetic factors.
Q2. How can you prevent cerebral palsy?
Preventing cerebral palsy involves addressing risk factors during pregnancy, such as avoiding infections, receiving proper prenatal care, and ensuring a safe birth environment to minimize potential complications.
Q3. At what age is CP diagnosed?
Cerebral palsy is often diagnosed in the first two years of life, but the specific age varies depending on when developmental delays or motor difficulties become noticeable.
Q4. Does CP get worse with age?
Cerebral palsy itself does not worsen with age, as it is not a progressive condition. But the impact of its symptoms can evolve, and managing associated challenges may require ongoing support and interventions throughout a person’s life
