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Samenvatting: Infantiele encephalopathie_ CP (Cerebral Palsy)
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Samenvatting: Infantiele encephalopathie_ CP (Cerebral Palsy)
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Infantiele encephalopathie/ CP(Cerebral Palsy)
Vaak geassocieerd met een spectrum van ontwikkelingsstoornissen zoals -
- Geestelijke achterstand (60%)
- Epilepsie (33%)
- Visuele, gehoor- (doofheid-10%) en spraakgebreken
- Strabismus (50%) (scheel zien)
- Cognitieve disfunctie
- Zintuiglijke problemen
- Emotionele en gedragsproblemen.
Cerebral pasly (= niet progressieve genetische afwijkingen of de congenitale confirmaties
● EXCLUSIEF progressieve pathologie en laesie van het ruggenmerg.
● INCLUSIEF niet-progressieve genetische d / s of cong-misvorming
CLASSIFICATIES
Topografisch Fysiologie
- Mono - Spastisch
- Hemi - Extrapyramidaal
- Diplegia - Ataxisch
- Quadri - Gemengd
- Dubbele hemiplegie - Atonic
- Triplegia
1
, Functioneel
- KLASSE 1 - GEEN beperking van de activiteit
- KLASSE 2 - Lichte beperking
- KLASSE 3 - Matige beperking
- KLASSE 4 - Geen nuttige lichamelijke activiteit mogelijk
Grove motore functie (level 1-5)
Plaats van hersenletsel Pathologisch
- Corticaal - Periventricular leucomalacia –
- Subcorticaal spastic diplegia
- Periventriculair - Stroke in utero –
- Basale ganglia hemiplegia
- Cerebellum - Multifocal encephalomalacia -
- Hersenstam quadriplegia
- Cerebellar –
ataxic
- Basal ganglia, thalamus, putamen -
dyskinetic
Een paar definities:
Hypoxia Verminderde zuurstoftoevoer naar het weefsel of orgaan.
Ischemia Verminderde bloedtoevoer naar een weefsel of orgaan.
Asphyxia Verstoorde gasuitwisseling in de fetal maternale circulatie
Gevolg: Toename van de partiële druk van kooldioxide (pCO²) en een
verlaging van de pariële druk van zuurstof (pO²)
2
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