77 Cerebral Palsy
Clinical Presentation
Spastic Cerebral Palsy
Spastic CP is the most common type, comprising about 70% of cases. It may be further subdivided according to the pattern of limb involvement. Spastic diplegia primarily involves the lower limbs and may be symmetric or asymmetric (see Figure 77-1). Parents often give a history of “tiptoeing” even when walking holding on to furniture. Spastic hemiparesis involves the upper and lower limb on one side, usually with the upper extremity more affected than the lower (see Figure 77-1). Parents may report early handedness (before 2 years) or that the child did not support his or her weight as well on the affected side when crawling. Spastic quadriparesis evenly involves all four limbs (see Figure 77-1).
Dyskinetic Cerebral Palsy
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