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Mixed cerebral palsy has symptoms of dyskinetic, ataxic and spastic CP appearing simultaneously, each to varying degrees, and both with and without symptoms of each. Mixed CP is the most difficult to treat as it is extremely heterogeneous and sometimes unpredictable in its symptoms and development over the lifespan. [121] [122] [123] [124]
Characteristic symptoms are increased muscle tone (dystonia, such as clubfoot) and Parkinsonian features, typically absent in the morning or after rest but worsening during the day and with exertion. Children with dopamine-responsive dystonia are often misdiagnosed as having cerebral palsy. The disorder responds well to treatment with levodopa.
Cerebral palsy [6] 343 G80 Rheumatoid arthritis [6] 714 M05 Hyperkinetic Movement disorders GLUT1 deficiency syndrome: E74.810 Attention-deficit hyperactivity disorder (with hyperactivity) 314.01 F90 Tic disorders (involuntary, compulsive, repetitive, stereotyped) F95 Tourette's syndrome: F95.2 Stereotypic movement disorder: F98.5
Ataxic cerebral palsy is known to decrease muscle tone. [3] The most common manifestation of ataxic cerebral palsy is intention (action) tremor, which is especially apparent when carrying out precise movements, such as tying shoe laces or writing with a pencil. This symptom gets progressively worse as the movement persists, causing the hand to ...
Spastic diplegia is a form of cerebral palsy (CP) that primarily affects the legs, with possible considerable asymmetry between the two sides. It is a chronic neuromuscular condition of hypertonia and spasticity in the muscles of the lower extremities of the human body, manifested as an especially high and constant "tightness" or "stiffness", [1] [2] usually in the legs, hips and pelvis.
Developmental coordination disorder (DCD), also known as developmental motor coordination disorder, developmental dyspraxia, or simply dyspraxia (from Ancient Greek praxis 'activity'), is a neurodevelopmental disorder [1] characterized by impaired coordination of physical movements as a result of brain messages not being accurately transmitted to the body.
The incidence of cerebral palsy has increased in the past 40 years. It has been estimated that, in the United States, cerebral palsy occurs in four out of every 1000 births. [11] Of those births, about 20–30% have spastic hemiplegia. Overall, spasticity is the more common type of cerebral palsy and non-spastic cerebral palsy is less common.
HSP is not a form of cerebral palsy even though it physically may appear and behave much the same as spastic diplegia. The origin of HSP is different from cerebral palsy. Despite this, some of the same anti-spasticity medications used in spastic cerebral palsy are sometimes used to treat HSP symptoms.