Cerebral Palsy

Even when the condition is present at birth, the signs of cerebral palsy (CP) may not be noticed until a child is between 1 and 3 years of age. This is due to the way children develop and mature. Doctors and parents may not recognize that a baby's movements are irregular until they become more pronounced as a child grows. These babies and young children may retain newborn reflexes and fail to reach age-appropriate developmental milestones. Parents and caregivers usually are the first to notice that a baby has developmental delays that may be early signs of CP.

When CP is severe, signs are often noticed at birth or shortly thereafter. But some early signs of severe CP vary according to the specific type of CP present.

Common signs of severe CP that may be noticed shortly after birth include:

• Problems sucking and swallowing.
• A weak or shrill cry.
• Unusual positions. Often the body is either very relaxed and floppy or very stiff. When held, babies may arch their backs and extend their arms and legs. These postures are different from and more extreme than those that sometimes occur in babies with colic.
• Seizures.

Some problems related to CP become more evident over time or develop as a child grows. These may include:

• Smaller muscles in affected arms or legs. Nervous system problems prevent movement in affected arms and legs. Inactivity affects muscle growth.
• Abnormal sensations and perceptions. Some people with CP feel pain when touched lightly. Even everyday activities, such as brushing teeth, may hurt. Abnormal sensations can also make it difficult to identify common objects by touch, such as feeling the difference between a soft foam ball and a hard baseball.
• Skin irritation. Drooling is common when facial and throat muscles are affected. Drooling irritates the skin, particularly around the mouth, chin, and chest.
• Dental problems. Children who have difficulty brushing their teeth have increased risk of developing cavities and gum disease (gingivitis). Seizure medicines may also contribute toward developing gum disease.
• Accidents. Falls and other accidents are a risk, depending on muscle control, joint stiffness, and general physical strength. Also, CP-related seizures can cause accidental injuries.
• Infections and long-term illnesses. Adults with CP are at a higher risk for heart and lung disease. For example, severe CP causes problems with eating. If food is inhaled into the lungs, the risk of lung infection (pneumonia) increases.