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Cerebral palsy is a non-progressive brain injury caused by risk factors occurring in the prenatal period, during birth, and after birth up to the age of 5 years. In which, cerebral palsy accounts for 10-15% of the total number of children with cerebral palsy and is more common in boys than girls.
1. Diagnostic procedure for cerebral palsy
Sequence to be performed when diagnosing cerebral palsy in children
1.1. Ask about the disease - take the history The doctor will explore the abnormalities in the mother's pregnancy, the abnormalities during and after birth, the child's movement disorders, and other pathological manifestations. ..
1.2. Examination and assessment of function Motor dysfunction due to damage to the central nervous system:
Continuous changes in muscle tone (increase, decrease) in extremities. Reduced gross mobility. Tendon reflexes may be elevated or normal. There are primitive reflexes at the spinal cord, brain stem, midbrain, and cerebral cortex levels. There are involuntary movements: poor head and neck control, persistent mouth opening, profuse drooling, dilated limb movements (usually hands and fingers). Signs of extrapyramidal damage: shaking, dancing. Muscle nutrition: no muscle atrophy, less contracture in joints due to changes in muscle tone. Sensation: possible dysregulation of sensation. Cranial nerves: possible paralysis. Other signs: seizures, swallowing disorders, children may be deaf at high frequencies. Disturbances in communication and language development of varying degrees. May be accompanied by epilepsy and other defects (nystagmus, strabismus, hearing loss...)
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2. Differential diagnosis with other forms of cerebral palsy
Distinguished from spastic cerebral palsy by increasing and decreasing muscle tone. Distinguishing from ataxia cerebral palsy in the ability to coordinate movements between parts of the body and the ability to balance...
3. Diagnose the cause
Prenatal, perinatal and postnatal causes
3.1. Before giving birth, the mother was infected with a virus (influenza, cytomegalovirus, toxoplasma, herpes...), used some drugs (chemicals, hormones...), poisoned (lead, mercury, arsenic...) The fetus has chromosomal mutations in the fetus due to many different causes. Blood group incompatibility (Rh blood group) Mother has diabetes, pregnancy toxicity ... Heredity 3.2. During childbirth Premature babies Children with asphyxiation Difficult birth, obstetric interventions at birth Obstetric trauma. 3.3. After birth Children with high fever convulsions Children with infections: meningitis, encephalitis... Children with head and brain injuries Lack of oxygen due to drowning, air poisoning Children suffering from diseases such as cerebral hemorrhage - meningoencephalitis , brain tumors....
4. Laboratory tests to diagnose cerebral palsy in children
EEG: abnormal baseline electrical activity, typical paroxysmal or atypical, focal or generalized activity. Transthoracic ultrasound: find localized lesions such as cerebral bleeding, dilated ventricles. Computed tomography or magnetic resonance imaging: identification of several brain lesions. X-ray: identify anomalies of the spine, hip, knee, and ankle joints. Optometry, audiometry Other tests: CK, LDH to rule out myopathy; T3, T4, TSH to rule out hypothyroidism.
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5. Where can diagnostic tests for cerebral palsy be performed?
Magnetic resonance imaging (tractography) or Diffusion Tensor Imaging (DTI) are the most modern imaging methods in the diagnosis of cerebral palsy in children. This is a diagnostic method commonly applied at Vinmec medical system.
Vinmec Times City International Hospital has deployed the service of Magnetic Resonance Imaging of Nerve Fiber Bundles or Tension Diffusion Magnetic Resonance Imaging performed by a modern Pioner GE 3 Tesla CT, with doctors many experiences in reading MRI with cerebral palsy with lesions:
MSc. BS. Ngo Van Doan - Head of Diagnostic Imaging Department of Vinmec Times City International General Hospital. With more than 16 years of experience in the field of diagnostic imaging, especially in the field of ultrasound, multi-slice computed tomography, magnetic resonance. BS. CKI. Nguyen Thanh Hai: has more than 20 years of experience in the field of diagnostic imaging, especially in the field of multi-segment computed tomography, magnetic resonance. Currently, the doctor is working at the Department of Diagnostic Imaging and Nuclear Medicine - Vinmec Times City International Hospital. MSc. BS. Vu Thi Hau: has been trained well domestically and internationally such as: Attended Viet Duc Hospital, Bach Mai Hospital, studied at CHU Clermont Ferrand Hospital (France). Resident doctor Nguyen Quynh Giang: has many years of experience in the field of diagnostic imaging, especially in the field of multi-segment computed tomography, magnetic resonance. For more information on imaging techniques, testing for cerebral palsy. Customers can go directly to Vinmec Times City to visit or contact hotline 0243 9743 556 for support.
The technique of magnetic resonance imaging of nerve fiber bundles or Tension Diffusion Magnetic Resonance Imaging at Vinmec Central Park International General Hospital for diagnosis of cerebral palsy has a success rate of up to 95% .
With the modern 3.0 Tesla MRI machine system and the world's leading synchronous and advanced equipment, with a team of highly qualified and experienced doctors - technicians, the imaging department can perform many diverse and specialized techniques, supporting clinicians to diagnose diseases quickly and accurately, helping to monitor disease during and after treatment.
BS. Tran Hai Dang - Diagnostic Imaging Department - Vinmec Central Park International General Hospital. The doctor has long trained abroad with certificates of continuous training, postgraduate training in diagnostic imaging and intervention in Switzerland, the United States, Austria, France, and participated in many international conferences. The international conference on advanced diagnostic imaging is held in countries with advanced medicine in the world.
Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and to manage your bookings easily.
