Birth Defects Associated With Cerebral Palsy In Children
Quick Answer: What is Cerebral Palsy and Should I Be Worried?
Cerebral Palsy (CP) is a group of movement disorders caused by brain damage during development. If your child has been diagnosed with CP, early intervention and therapy can significantly improve outcomes. While there is no cure, children with CP can lead fulfilling lives with proper support and treatment.
Reassurance: Many children with mild CP grow up to walk, communicate, and live independently. Early diagnosis and consistent therapy are key to maximizing your child's potential.
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What is Cerebral Palsy?
Watch: Summer Baby Care Tips | How to Protect Your Baby from Heat, Dehydration, Rashes & Infections
Cerebral Palsy (CP) affects movement, muscle tone, and coordination due to damage to the developing brain. It's the most common motor disability in childhood.
Types of Cerebral Palsy
Type
What It Affects
Characteristics
**Spastic CP** (most common)
Muscle stiffness
Tight muscles, jerky movements
**Dyskinetic CP**
Muscle control
Uncontrolled, involuntary movements
**Ataxic CP**
Balance and coordination
Shaky movements, unsteady walk
**Mixed CP**
Combination
Features of multiple types
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Early Signs of CP by Age
0-6 Months
Baby feels floppy or stiff when held
Head lags when pulled to sitting position
Difficulty sucking/feeding
Doesn't respond to sounds
Crossed or scissored legs when lifted
6-12 Months
Not sitting independently by 9 months
Only uses one side of body to reach
Doesn't crawl by 12 months
Can't bring hands together
Doesn't put weight on legs
12+ Months
Not walking by 18 months
Walks on toes
Tight or stiff muscles
Favors one hand before 12 months (unusual)
Speech delay
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Causes and Risk Factors
Before Birth
Infections during pregnancy (TORCH - Toxoplasmosis, Rubella, CMV, Herpes)
Maternal fever during pregnancy
Rh incompatibility (blood group mismatch)
Multiple births (twins, triplets)
Premature birth (before 37 weeks)
Low birth weight (under 2.5 kg)
During Birth
Prolonged or difficult labor
Umbilical cord problems (cord around neck)
Lack of oxygen (birth asphyxia)
After Birth
Severe jaundice (untreated high bilirubin)
Brain infections (meningitis, encephalitis)
Head injury
Seizures in infancy
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Managing Fever in Children with CP
Children with CP may be more vulnerable during illness. Managing fever properly is important:
Paracetamol Dosage Chart
Child's Weight
Calpol Drops (100mg/ml)
Calpol Syrup (120mg/5ml)
5-6 kg
0.5-0.6 ml
2.5 ml
6-8 kg
0.6-0.8 ml
3-4 ml
8-10 kg
0.8-1 ml
4-5 ml
10-12 kg
-
5-6 ml
12-15 kg
-
6-7.5 ml
15-20 kg
-
7.5-10 ml
Give every 4-6 hours as needed. Max 4 doses in 24 hours.
When to Worry About Fever in CP
Seek immediate care if:
Fever above 103°F (39.4°C)
Seizure or convulsion
Difficulty breathing
Feeding problems or dehydration
Unusual drowsiness or irritability
Fever with rash
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Treatment Options for CP
Therapies (Most Important!)
Therapy
Purpose
Frequency
**Physiotherapy**
Improve strength, balance, mobility
3-5 times/week
**Occupational Therapy**
Daily living skills, fine motor
2-3 times/week
**Speech Therapy**
Communication, swallowing
2-3 times/week
Start early! The first 3 years are critical for brain development.
Anti-seizure drugs: If epilepsy present (many CP children have seizures)
Surgical Options
Orthopedic surgery for bone/muscle problems
Selective Dorsal Rhizotomy (SDR) for spasticity
Hip surgery to prevent dislocation
Assistive Devices
Orthotics (braces) for legs/feet
Walkers and wheelchairs
Communication devices
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Home Care Tips for CP
Consistent therapy practice - Do exercises at home daily
Proper positioning - Prevent contractures with correct seating
Nutrition - Many CP children struggle with eating; consult dietitian
Regular stretching - Prevents muscle tightening
Play-based learning - Make therapy fun
Support groups - Connect with other CP families
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Resources in India
NIMHANS, Bangalore - Comprehensive CP treatment
AIIMS, Delhi - Pediatric neurology department
Apollo Hospitals - CP rehabilitation programs
Ability Foundation - Support and resources
Spastics Society of India - Therapy centers in major cities
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When to See a Doctor
Seek evaluation if you notice:
Baby not meeting milestones
Unusual muscle tone (too stiff or too floppy)
Feeding difficulties
Preferring one side of body
Abnormal movements
Regular follow-ups for diagnosed CP:
Pediatric neurologist: Every 3-6 months
Physiotherapist: Ongoing
Orthopedic surgeon: As needed
Ophthalmologist: Annual (vision problems common)
Audiologist: Annual (hearing problems possible)
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Expert Insight: Dr. Sumitra reminds parents: 'Fever itself is not dangerous - it's your child's body fighting infection.'
FAQs
Q: My baby has CP. Will they ever walk?
A: Many children with CP do walk! The ability to walk depends on the type and severity of CP. Mild spastic CP often allows independent walking. Even children with more severe CP can improve mobility significantly with early therapy and assistive devices.
Q: Can CP get worse over time?
A: CP itself doesn't worsen - the brain damage doesn't progress. However, muscle and bone problems can develop if not managed with therapy. That's why consistent physiotherapy is so important.
Q: My child with CP has fever 102°F. What should I give?
A: Give Calpol/paracetamol based on weight (see dosage chart above). Keep child comfortable with light clothing. If fever persists beyond 48 hours or is accompanied by seizures, breathing problems, or unusual drowsiness, consult your doctor immediately.
Q: Is CP hereditary? Will my next child have it?
A: In most cases, CP is NOT inherited. It usually results from factors during pregnancy, birth, or early infancy. However, some rare genetic conditions can cause CP-like symptoms. Genetic counseling can help if you're concerned.
Q: At what age is CP diagnosed?
A: CP can sometimes be suspected as early as 3-6 months, but diagnosis is often made between 12-24 months when motor delays become more apparent. Early diagnosis leads to earlier intervention, which is crucial.
Q: What kind of doctor should I see for CP?
A: Start with a pediatric neurologist for diagnosis and treatment planning. You'll also need a team including physiotherapist, occupational therapist, speech therapist, and possibly an orthopedic surgeon.
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This article was reviewed by a pediatrician. Last updated: January 2025
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