The Cerebral Palsy Dictionary
In this section we will identify different terms and words that are used
when referring to cerebral palsy
Cerebral palsy: An abnormality of motor function (the ability to
move and control movements) that is acquired at an early age, usually less
than a year of age, and is due to a brain lesion that is non-progressive.
Cerebral palsy (CP) is frequently the result of
abnormalities that occur in utero, while the fetus is developing inside the
mother's womb. Such abnormalities may include accidents of brain
development, genetic disorders, stroke due to abnormal blood vessels or
blood clots, or infection of the brain. In rare instances, obstetrical
accidents during particularly difficult deliveries can cause brain damage
and result in CP. CP may be divided into spastic, choreoathetoid, and
hypotonic (flaccid) CP. In spastic CP, there is an abnormality of muscle
tone in which one or more extremities (arm or leg) is held in a rigid
posture. Choreoathetoid CP is associated with abnormal, uncontrollable,
writhing movements of the arms and/or legs. The child with hypotonic CP
appears floppy -- like a rag doll. Treatment may include casting and braces
to prevent further loss of limb function, speech therapy, physical therapy,
occupational therapy, the use of augmentative communication devices, and the
use of medications of botox injections to treat spasticity.
Glossary
acquired cerebral palsy - cerebral palsy that occurs as a result of
injury to the brain after birth or during early childhood.
Apgar score - a numbered scoring system doctors use to assess a
baby's physical state at the time of birth.
anticholinergic drugs - a family of drugs that inhibit
parasympathetic neural activity by blocking the neurotransmitter
acetylcholine.
asphyxia - a lack of oxygen due to trouble with breathing or poor
oxygen supply in the air.
ataxia (ataxic) - the loss of muscle control.
athetoid - making slow, sinuous, involuntary, writhing movements,
especially with the hands.
bilirubin - a bile pigment produced by the liver of the human body
as a byproduct of digestion.
bisphosphonates - a family of drugs that strengthen bones and
reduce the risk of bone fracture in elderly adults.
botulinum toxin - a drug commonly used to relax spastic muscles; it
blocks the release of acetylcholine, a neurotransmitter that energizes
muscle tissue.
cerebral - relating to the two hemispheres of the human brain.
cerebral dysgenesis - defective brain development.
chemodenervation - a treatment that relaxes spastic muscles by
interrupting nerve impulse pathways via a drug, such as botulinum toxin,
which prevents communication between neurons and muscle tissue.
choreoathetoid - a condition characterized by aimless muscle
movements and involuntary motions.
computed tomography (CT) scan - an imaging technique that uses
X-rays and a computer to create a picture of the brain's tissues and
structures.
congenital cerebral palsy - cerebral palsy that is present at birth
from causes that have occurred during fetal development.
contracture - a condition in which muscles become fixed in a rigid,
abnormal position, which causes distortion or deformity.
cytokines - messenger cells that play a role in the inflammatory
response to infection.
developmental delay - behind schedule in reaching the milestones of
early childhood development.
disuse atrophy - muscle wasting caused by the inability to flex and
exercise muscles.
dyskinetic - the impairment of the ability to perform voluntary
movements, which results in awkward or incomplete movements.
dystonia (dystonic) a condition of abnormal muscle tone.
electroencephalogram (EEG) - a technique for recording the pattern
of electrical currents inside the brain.
electromyography - a special recording technique that detects
muscle activity.
failure to thrive - a condition characterized by a lag in physical
growth and development.
focal (partial) seizure - a brief and temporary alteration in
movement, sensation, or autonomic nerve function caused by abnormal
electrical activity in a localized area of the brain.
gait analysis - a technique that uses cameras, force plates,
electromyography, and computer analysis to objectively measure an
individual's pattern of walking.
gastroesophageal reflux disease (GERD) - also known as heartburn,
which happens when stomach acids back up into the esophagus.
gastrostomy - a surgical procedure that creates an artificial
opening in the stomach for the insertion of a feeding tube.
gestation - the period of fetal development from the time of
conception until birth.
hemianopia - defective vision or blindness that impairs half of the
normal field of vision.
hemiparesis - paralysis affecting only one side of the body.
homonymous - having the same description, name, or term.
hypertonia - increased muscle tone.
hypotonia - decreased muscle tone.
hypoxic-ischemic encephalopathy - brain damage caused by poor blood
flow or insufficient oxygen supply to the brain.
intracranial hemorrhage - bleeding in the brain.
intrapartum asphyxia - the reduction or total stoppage of oxygen
circulating in a baby's brain during labor and delivery.
intrathecal baclofen - baclofen that is injected into the
cerebrospinal fluid of the spinal cord to reduce spasticity.
intrauterine infection - infection of the uterus, ovaries, or fallopian
tubes (see pelvic inflammatory disease for a more detailed explanation).
jaundice - a blood disorder caused by the abnormal buildup of
bilirubin in the bloodstream.
kernicterus - a
neurological syndrome caused by deposition of bilirubin into brain tissues.
Kernicterus develops in extremely jaundiced infants, especially those with
severe Rh incompatibility.
kyphosis - a humpback-like outward curvature of the upper spine.
lordosis - an increased inward curvature of the lower spine.
magnetic resonance imaging (MRI) - an imaging technique that uses
radio waves, magnetic fields, and computer analysis to create a picture of
body tissues and structures.
nerve entrapment - repeated or prolonged pressure on a nerve root
or peripheral nerve.
neuronal migration - the process in the developing brain in which
neurons migrate from where they are born to where they settle into neural
circuits. Neuronal migration, which occurs as early as the second month of
gestation, is controlled in the brain by chemical guides and signals.
neuroprotective - describes substances that protect nervous system
cells from damage or death.
neurotrophins - a family of molecules that encourage survival of
nervous system cells.
off-label drugs - drugs prescribed to treat conditions other than
those that have been approved by the Food and Drug
Administration.
orthotic devices - special devices, such as splints or braces, used
to treat posture problems involving the muscles, ligaments, or bones.
osteopenia - reduced density and mass of the bones.
overuse syndrome (also called
repetitive strain injury) - a condition in which repetitive movements or
constrained posture cause nerve and muscle damage, which results in
discomfort or persistent pain in muscles, tendons, and other soft tissues.
This can happen in various parts of the body, but is most likely to happen
in the arms, legs, or hands.
palsy - paralysis, or the lack of control over voluntary movement.
-paresis or -plegia - weakness or paralysis. In
cerebral palsy, these terms are typically combined with other phrases that
describe the distribution of paralysis and weakness; for example,
quadriplegia means paralysis of all four limbs.
pelvic inflammatory disease (PID, also sometimes called pelvic
infection or intrauterine infection) - an infection of the upper genital
tract (the uterus, ovaries, and fallopian tubes) caused by sexually
transmitted infectious microorganisms. Symptoms of PID include fever,
foul-smelling vaginal discharge, abdominal pain and pain during intercourse,
and vaginal bleeding. Many different organisms can cause PID, but most
cases are associated with gonorrhea and chlamydia.
periventricular leukomalacia (PVL) - "peri" means near;
"ventricular" refers to the ventricles or fluid spaces of the brain; and
"leukomalacia" refers to softening of the white matter of the brain.
PVL is a condition in which the cells that make up white matter die near the
ventricles. Under a microscope, the tissue looks soft and sponge-like.
placenta - an organ that joins a mother with her unborn baby and
provides nourishment and sustenance.
post-impairment syndrome - a combination of pain, fatigue, and
weakness due to muscle abnormalities, bone deformities, overuse syndromes,
or arthritis.
quadriplegia - paralysis of both the arms and legs.
respite care - rest or relief from caretaking obligations.
Rh incompatibility - a blood condition in which antibodies in a
pregnant woman's blood attack fetal blood cells and impair an unborn baby's
supply of oxygen and nutrients.
rubella - (also known as German measles) a viral infection
that can damage the nervous system of an unborn baby if a mother contracts
the disease during pregnancy.
scoliosis - a disease of the spine in which the spinal column tilts
or curves to one side of the body.
selective dorsal rhizotomy - a surgical procedure in which selected
nerves are severed to reduce spasticity in the legs.
selective vulnerability - a term that describes why some neurons
are more vulnerable than others to particular diseases or conditions.
For example, motor neurons are selectively vulnerable to the loss or
reduction in levels of the neurotransmitter dopamine, which results in the
weakness and paralysis of amyotrophic lateral sclerosis (ALS, commonly
called Lou Gehrig's disease).
spastic (or spasticity) - describes stiff muscles and awkward
movements.
spastic diplegia (or diparesis) - a form of cerebral palsy in which
spasticity affects both legs, but the arms are relatively or completely
spared.
spastic hemiplegia (or hemiparesis) - a form of cerebral palsy in
which spasticity affects an arm and leg on one side of the body.
spastic quadriplegia (or quadriparesis) - a form of cerebral palsy
in which all four limbs are paralyzed or weakened equally.
stereognosia - difficulty perceiving and identifying objects using
the sense of touch.
strabismus - misalignment of the eyes, also known as cross eyes.
telemetry wand - a hand-held device that acts as a remote control,
directing the dosing level of a drug via a pump implanted beneath the skin.
tonic-clonic seizure - a type of seizure that results in loss of
consciousness, generalized convulsions, loss of bladder control, and tongue
biting followed by confusion and lethargy when the convulsions end.
tremor - an involuntary trembling or quivering.
ultrasound - a technique that bounces sound waves off tissue and
bone and uses the pattern of echoes to form an image, called a sonogram
Source
http://www.ninds.nih.gov/disorders/cerebral_palsy/detail_cerebral_palsy.htm
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