Authors

  • Dilnura Tolkinjonova
    Toshkent Medical Academy

DOI:

https://doi.org/10.71337/inlibrary.uz.ijai.114445

Abstract

This article provides detailed information about cerebral palsy (CP), including its causes, symptoms, diagnosis, and treatment. Cerebral palsy is a neurological disease that occurs mainly in childhood and causes difficulties in controlling movements and maintaining balance. The development of the disease is influenced by various factors, such as perinatal injuries, lack of oxygen, infections, and sometimes genetic factors. The article details the main types of CP and their clinical symptoms, such as limitations in motor activity, muscle spasms, and difficulty walking. It also provides information on how the disease is diagnosed, including neurological tests, MRI and other imaging techniques. Various methods are used to treat CP, such as physical therapy, medications, and orthopedic aids. It also emphasizes the need to provide psychological support to families in helping children with the disease and supporting their development. Overall, the article gives a complete picture of the various aspects of cerebral palsy and ways to combat it.

 

 

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CEREBRAL PALSY ETIOLOGY AND ITS DIAGNOSTICS

Dilnura M Tolkinjonova

Student of the Faculty of Treatment, Toshkent Medical Academy

Toshkent , Uzbekistan

Abstract:

This article provides detailed information about cerebral palsy (CP), including its

causes, symptoms, diagnosis, and treatment. Cerebral palsy is a neurological disease that occurs

mainly in childhood and causes difficulties in controlling movements and maintaining balance.

The development of the disease is influenced by various factors, such as perinatal injuries, lack

of oxygen, infections, and sometimes genetic factors. The article details the main types of CP

and their clinical symptoms, such as limitations in motor activity, muscle spasms, and difficulty

walking. It also provides information on how the disease is diagnosed, including neurological

tests, MRI and other imaging techniques. Various methods are used to treat CP, such as

physical therapy, medications, and orthopedic aids. It also emphasizes the need to provide

psychological support to families in helping children with the disease and supporting their

development. Overall, the article gives a complete picture of the various aspects of cerebral

palsy and ways to combat it.

Key words:

cerebral palsy (CP), tremor, Premature birth, Fragile X syndrome, Bacterial

meningitis, Viral encephalitis, CT, MRI.

The brain paralysis (CP) is a group of neurological diseases affecting the movement and

balance of people. This is the most common type of childhood, which affects 1 of 345 children

in the United States. Brain paralysis causes injury or injury to the movement, balance and

control of the situation. Often, problems appear during pregnancy, but can also appear during

childbirth or after childbirth. Often unknown. Risk factors are entered the effects of some

infections or methyl methl mine methob, during pregnancy, and the first few travers of life

during pregnancy. [1] New research shows that hereditary genetic reasons controlled 25% of

cases, previously considered genetically identified in 2%. [5] [6] Small species are classified

according to specific problems available. For example, those who are solid muscles have CP

primary brain semi-paralyzing, movement weak coordination Ataxic brain paralysis and

twisting movements are found in people with diskinetic brain. The diagnosis is based on the

development of a child. Blood tests and medical images can be used to exclude other possible

reason. [1] Although the problems of movement is the center of CP, the difficulties associated

with thinking, learn, feel communication, communication, and behavior often occurs together.

[16] [17] Most of the CP cases depend on the brain injury before birth or during birth: CP is

more common than girls in boys; Brain paralysis has more influence on black children than

other races; More than half of children with CP can walk independently; 75-85% of patients

have the paralysis of finic brain, ie muscles are frozen and movements are affected; 28% has

epilepsy, facing difficulties in communicating 58%, at least 42% have problems, and 23-56%

have flaws [18]. In people with high muscle tones, muscle shrinks are usually derived from

extreme activation. [19]. While most people with CP have faced problems with the muscle tone,

some have a low muscle tone. The brain paralysis is characterized by an abnormal muscle tone,

reflexes or by the development and coordination of the tool. Babies born with heavy brain is

often have a messy state; Their div can be very soft or very hard. Sometimes with the CP,


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congenital flaws appear as a small jaw bone or a small head. Symptoms can appear as the child

is grown or changed. Babies born with the brain paralysis do not immediately display

symptoms [26]. Classically, CP baby is manifested when the baby reaches the growth phase of

development between 6 months and moves [22].

Reasons. Early childbirth; complications that occur during childbirth; links to the hard

umbilical cord. The pathologies of the components of the hard navel (twins, three twins or

more); brain circulation in the fetus. The mother transmitted by the mother is infected during

pregnancy; Mother has thyroid diseases and diabetes mellitus.giptenzia, consuming

corostrertens and cards in the mother's absurities during the mother's disparities. Hemolytic

disease of a newborn baby. Bad ecological conditions.Mic paralysis causes the misconception

of the brain or the damage to the emerging brain. This usually happens before the child is born,

but it can happen in birth or early infancy. Often unknown. Many factors can lead to changes in

the brain development. Some include: gene changes in genetic conditions or genetic

development. Material infections affected by a baby that is not. The blood vessel that stopped

the blood supply of the emerging brain. Bleeding in the uterus or a newborn baby infections

that cause tumors in or around. Traumatic head injury to a baby, such as a car accident, fall or

physical injury. The lack of oxygen is related to hard work or birth, although this is less

common than they have previously thought out.

Characterists. Signs of procurement and coordination may include: solid muscles and

exaggerated reflexes are called CP asthitis. Changes in muscle tone, the regular reflex of reflex,

called solid by hardness, called. The otherwise impurities are called impurities. People with

brain paralyzes can drown on their toes or walk in their way. They can also walk like a scissors

by crossing their knees. Or they may have extensive walks or non-sustainable walks. These

symptoms may appear related to the sensitive and nutritions such as: delays in the development

of speech. Auctions, chewing or nutrition issues, to the leak or absorption of the way. Speech

and lingual disorders - In more than 75 percent of people with CP, there are speech and

language disorders such as forming words and speaking clearly. Excessive sweating - Some

people with CP flows through their saliva because they cannot control the muscles, mouth and

language muscles. Incompinse - the possible complications of the CP is to keep themselves

incorrect as a result of the bad control of the bladder muscles. The difficulty associated with

feelings and sensations - Some people suffering with CP are experiencing pain or feeling

difficult to feel simple feelings as touch. The difficulties in the study - CPLi children may face

difficulties in processing specific types of spatial data and hearing data. Infections and long-

term diseases - Many adults with CP are heartbreaks and lung diseases and pneumonia

risk. Contracts - muscles can be formed painfully to positions called contracture, which can

strengthen the deformation of the CP and joints of muscles in patients with CP. Incorrect

nutrition - the problems with swallowing, suction or feeding problems can make it difficult for

many people affected by CP, especially babies, cut or storage. Dental problems - Diseases of

the toothks and gaps development because many children with CP do not follow the dental

hygiene. Inaction - Many children with CP will not be able to participate in the level of

intensity and other activities to develop and maintain physical fitness. Inactive adults with CP

often increase the severity of the disease and reduce the person's mineral density, and people

with CP are more likely to risk development, depression, and development of social and

emotional problems.

Diseases that significantly increase the risk of brain semicity in the newborn is: bacterial

menite. This bacterial infection leads to a swelling around the brain and the spinal cord. Viral


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Endingfalite. This viral infection also leads to swelling in membranes around the brain and the

spinal cord. Jaundice. Yellow is manifested as a yellow and eye turnout. The situation occurs

when some additional products of "used" blood cells are not filtered from bloodstream. Blood

transfusion. This is usually due to the baby's womb or an early infancy. Some children of the

brain is the following symptoms of development: delays in achieving important stages of motor

skills such as sitting or crawl. The study flaws. are tested, leads to a small amount, smaller than

expected.Is of injury may lead to other neurological symptoms, such as Tovenants with signs of

epileptica. Brain-falsely children can diagnose epilepsy. Changes in hearing. The problem of

feeling feelings like the chance and touches of the eye. Right and intestinal problems, including

the abduction of constipation and urine. The state of mental health, such as emotional

conditions and behavioral problems.

Diagnostics. The diagnosis of brain paralysis is historically based on human history and

physical examination and is usually assessed in their youth. It seems the most clear evaluation

of general efforts to measure spontaneous actions in children up to four months [28], [29]. More

heavierly affected children are more felt and early diagnosed. The continuation of the delayed

muscle tone, the development of delayed tool and primitive reflexes are the main stages of CP.

Although symptoms and diagnoses usually appear in two years [31], if the light forms of brain

semicles are, if it is not in puberty, it may be over five. when finally diagnosed [32]. Cognitive

assessment and medical observations are also useful to confirm the diagnosis. In addition, the

child's mobility, speech and assessment of the ability to hear, walk, eat, and digestion of food is

also useful to determine the degradation level [31]. If a person is diagnosed with brain semicles,

subsequent diagnostic tests are voluntary. The person is guaranteed if the person does not

specify the person's cerebral paralysis using CT or MII. Mri is better than KT because of

diagnostic efficiency and safety. If it is unnatural, the evidence obtained from neurotaspers may

indicate the time of the initial harm. CT or MRI, as well as hydrosefalitis, arteryovenosis

malformations, subdural hematoes and hygrases and show that this shows that this is 5-22% in

cases. In addition, anomalies identified by Neurotascus may indicate the highest likelihood of

diseases such as epilepsy and mental weakness . The exact MRI facilation is a small threat to

calming the children [32] .CP is important young diagnosis, but medical professionals do not

agree about the best age to diagnose. How early CP is diagnosed, the ability to provide physical

and educational assistance in the child, can be more likely to confuse CP with another problem,

especially if the child is 18 months or less. Infirts can be temporary problems with muscle tones

or control, which can be confused with a permanent CP [30].

Metabolism violation or tumors in the nervous system may seem to be CP; Metabolic diseases

can cause brain problems that look particularly like CP in MRISA [1]. CPZM and vulnerability

problems can be mistaken with CP if they appear at the beginning of life . However, these

disruptions deteriorate over time and no CP (although it can change in character). During a

childhood, it is possible to say the difference between them . In the UK 8 months old, the lack

of independent sitting is regarded as a clinical sign for subsequent monitoring. Fragile X

syndrome (cause of autism and mental illness) and common mental impairment should also

exclude . Before the diagnosis of the brain Palaizist John, the child recommends waiting for 36

months old, as it is easier to evaluate the child's paralysis, to identify other diseases that may

exist simultaneously with the brain semicity.

Treatment Therapy therapy is an important part of treatment immediately after the child is

immediately diagnosed. This type of treatment can also be determined before the diagnosis,

depending on the characteristics of the child. Dasrums can help heal some symptoms of the


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brain paralysis and prevent complications. For example, the anti-cmpazodias and muscle

relaxations can relax hard (CPASIC) muscles and help to increase the action interval. Helps to

improve the movement of limbs or reduce drool. Other drugs can also be used by symptomatic

treatment . Continue the current treatment and add new treatment when it is necessary. Therapy

therapy that helps to be as mobile as possible. This also helps prevent surgery need. If the child

has passed surgical treatment, then intensive exercise therapy may be required for 6 months or

more. The treatment of medicines should be constantly controlled, or dorsal insatomy (muscle,

muscle and joints) or dorsal rhizomes. Therapy helps the child find ways to communicate with

his peers, and this is also part of treatment. As a child suffering, if he is grateful, if it is grateful,

it may be a little better or orthoped surgery. People with CP may contain cognitive disorders or

not at all. The full intellectual potential of a child born with CP is often not known until the

child starts school. In people with CP, people are more likely to disrupt learning but a normal

intelligence. The intellectual level of people suffering from the CP, as in the ordinary

population, varies from the genius to intellectual disabled and stressed the importance of giving

all the opportunities to not diminish and learn the capabilities of the person affected by CP [29].

Pursianing in adults with brain paralysis can be early or late. The delay in puberty is considered

to be the result of the lack of food .There is no evidence that CP will affect the birth of the CP,

although some secondary signs affect sexual desires and work. Adults of CP were less likely to

cross the screening of reproductive health since 2005. Gynecological examinations may be

subject to anesthesia due to CPASISITE and the tools are often not available. Your breasts can

be hard to check, so the partners or guardians can do it. The men with CP have a high level of

cryptophidism at the age of 21. CP, depending on the severity of its condition and the quality of

the assistance provided to them, significantly reduces human life expectancy. 5-10% of children

with CP die, especially when ecoing and mental weakness affects the child. Due to an

outpatient, round and self-feeding ability to increase life expectancy . Although there are so

many changes in CP to affect people, it was found that "independent gross motor functional

functionality is a very strong stability factor." According to the Australian Statistics Bureau, in

2014, he had died of 104 Australian brain paralyzed paralyzes . The most common causes of

death in the CP are related to the causes of breathing, but middle age is more reflected in

middle-age cardiovascular problems and neoprastic diseases [30].

In conclusion, (CP) as a general name for the motor disorders caused by the infection of the

neurological system, this disease often develops due to congenital or perinatal injuries. The

article highlights the physiological and genetic basis of the CP, as well as its diagnosis and

rehabilitation processes. Different forms of CP and its weight, as well as individual appearance

of the disease, have a multilateral approach and individual therapy plans to succeed. Physical

therapy, orthopedic interventions, and pharmacological agents play a key role in improving the

condition of patients. Also, rehabilitation measures play an important role in restoring patients

with others, along with their daily activities.Chu, facilitating the consequences of early

diagnosis and treatment of the CP and improving the quality of the patient. In the future,

through the help of genetic and neuroplastic research, more effective methods of disease

prevention and treatment are expected to be developed.

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ISSN: 2692-5206, Impact Factor: 12,23

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Centers for Disease Control and Prevention (CDC). (2023, February 23). 11 Things to know about cerebral palsy. Retrieved April 16, 2024, from https://www.cdc.gov/ncbddd/cp/features/cerebral-palsy-11-things.html

"Symptoms of Cerebral palsy". NHS Choices. NHS Gov.UK. 15 March 2017. Archived from the original on 7 April 2017. Retrieved 6 April 2017.

"What is cerebral palsy?". The Cerebral Falajied Association of the Philippines Inc. Archived from the original on 20 December 2016. Retrieved 4 December 2016.

Blackman JA, Svensson CI, Marchand S (September 2018). "Pathophysiology of chronic pain in cerebral palsy: implications for pharmacological treatment and research". Developmental Medicine and Child Neurology. 60 (9): 861–865. doi:10.1111/dmcn.13930. PMID 29882358.

Blumetti FC, Belloti JC, Tamaoki MJ, Pinto JA (October 2019). "Botulinum toxin type A in the treatment of lower limb CPasticity in children with cerebral palsy". doi:10.1002/14651858.CD001408.pub2. PMC 6779591. PMID 31591703.

Dewar RM (2020). Postural control in children with cerebral palsy: a comprehensive definition, framework and reproducible assessment (Thesis). University of Queensland Library. doi:10.14264/90c2cf3.

Donkor CM, Lee J, Lelijveld N, Adams M, Baltussen MM, Nyante GG, et al. (January 2019). Food Science & Nutrition. 7 (1): 35–43. doi:10.1002/fsn3.788. PMC 6341142. PMID 30680157.

Graham D, Paget CP, Wimalasundera N (February 2019). "Current thinking in the health care management of children with cerebral palsy". The Medical Journal of Australia. 210 (3): 129–135. doi:10.5694/mja2.12106. PMID 30739332. S2CID 73424991.

Hauer J, Houtrow AJ (June 2017). "Pain Assessment and Treatment in Children With Significant Impairment of the Central Nervous System". Pediatrics. 139 (6): e20171002. doi:10.1542/peds.2017-1002. PMID 28562301.

" CPastic cerebral palsy". Cerebral Palsy Alliance. 18 November 2015. Retrieved 4 March 2020. ]

"Cerebral Palsy from Birth Injury". Birth Injury Guide. 3 January 2022. Retrieved 4 January 2022.

Amen J, ElGebeily M, El-Mikkawy DM, Yousry AH, El-Sobky TA (2018). "Single-event multilevel surgery for crouching cerebral palsy children: Correlations with quality of life and functional mobility". Journal of Musculoskeletal Surgery and Research. 2 (4): 148. doi:10.4103/jmsr.jmsr_48_18. S2CID 81725776.

"CEREBRAL PALSY, CPASTIC QUADRIPLEGIC, 1; CPSQ1". Online Mendelian Inheritance in Man. 28 June 2016. Retrieved 26 January 2018.

El-Sobky TA, Fayyad TA, Kotb AM, Kaldas B (May 2018). "Bony reconstruction of hip in cerebral palsy children Gross Motor Function Classification System levels III to V: a systematic review". Journal of Pediatric Orthopedics. Part B. 27 (3): 221–230. doi:10.1097/BPB.0000000000000503. PMID 28953164. S2CID 4204446. .

Farag SM, Mohammed MO, El-Sobky TA, ElKadery NA, ElZohiery AK (March 2020). "Botulinum Toxin A Injection in Treatment of Upper Limb CPasticity in Children with Cerebral Palsy: doi:10.2106/JBJS.RVW.19.00119. PMC 7161716. PMID 32224633.

National Guideline Alliance (UK) (January 2017), "Managing saliva control", Cerebral palsy in under 25s: assessment and management, National Institute for Health and Care Excellence, retrieved 4 January 2024

Gorp M, Hilberink SR, Noten S, Benner JL, Stam HJ, van der Slot WM, et al. (June 2020). "Epidemiology of Cerebral Palsy in Adulthood: A Systematic Review and Meta-analysis of the Most Frequently Studied Outcomes". 1041–1052. doi:10.1016/j.apmr.2020.01.009. hdl:1765/126053. PMID 32059945. S2CID 211122403.

Kim HS, Son SM (August 2022). "Limb Length Discrepancy and Cortico CPinal Tract Disruption in Hemiplegic Cerebral Palsy". Children. 9 (8): 1198. doi:10.3390/children9081198. PMC 9406518. PMID 36010088.

Marpole R, Blackmore AM, Gibson N, Cooper MS, Langdon K, Wilson AC (24 June 2020). Frontiers in Pediatrics. 8: 333. doi:10.3389/fped.2020.00333. PMC 7326778. PMID 32671000. .

McCay KD, Ho ES, Shum HP, Fehringer G, Marcroft C, Embleton ND (2020). "Unifying Person and Vehicle Re-identification". IEEE Access. 8 (1): 2169-3536. doi:10.1109/ACCESS.2020.2980269. S2CID 214623895.

McCay KD, Hu P, Shum HP, Woo WL, Marcroft C, Embleton ND, et al. (2022). "A Pose-Based Feature Fusion and Classification Framework for the Early Prediction of Cerebral Palsy in Infants". IEEE Transactions on Neural Systems and Rehabilitation Engineering. 30: 8–19. doi:10.1109/TNSRE.2021.3138185. PMID 34941512. S2CID 245457921.

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