Ataxic and and not akinetic
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duskinetic or athetoid cerebral palsy
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characteritisc feature of CP ⇒ scissor gait
Associations of cerbreal palsy
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linkup aetiology with pathophysiology !!!!! What aetilogy with patho physiology?
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chorea is repetitive movement which isnt the same like dancing hands
athetosis is the same like snake like movements
dystonia = involuntary muscle contrzctions
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pseudobulbar palsy = when the neurones supplying the nuclie of the cranial nerves involved in dusarthria and dysphagia is damaged. unable to swallow so causes drooling of saliva which then cause siallorreha
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Hypoventilation because neuromuscular deformitivy muscles m=pushing and so cannot cause the volume expansion
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tizanidine inhibits glutamate release
others fire GABA
glutamate is the ost common stiumant neurotransmitter!
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botulinum inhibits ach
and dantrolene inhibits calcilum release
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if oral baclofen fails...then they can try intrathecal ibaclofe injections
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antihonlinergics try to re-establish the doapmine and ach balance
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dorsal rhizotomy to reduce tone by cutting the sensory neurone.
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main stay of treatment is MDT not medical or sirgica;!!
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