Patient's question:
Currently 4 and a half years old, the main issue is that the right leg is thinner than the left and lacks strength. The right heel does not touch the ground when standing. Before the age of 2, she underwent 3 months of rehabilitation training in Jinan. Last year, she also had 3 months of training in Weihai. Recent observations show that the right foot can almost touch the ground when standing, but walking and squatting are still not possible. Below is the CT report from October 2008 in Weihai:Diagnosed Findings: Bilateral posterior horn of the lateral ventricles show wedge-shaped cystic density lesions extending outward even to the subcortical area, without connection to the lateral ventricles. The lateral ventricles are significantly dilated, with reduced inter distance. The corpus callosum genu appears thinner, while the splenium is not clearly visible. No other significant abnormal density lesions are observed. Fissures and cisterns show no deformation, and the midline structures are left-sided.
Diagnosis Impression: Possible schizencephaly. Does not rule out corpus callosum hypoplasia.
The above is the original text of the CT report. I don’t understand it, but compared to the CT before the age of 2, the doctor said there was no change in the two CT scans. It would be helpful if experts could provide some good advice on how to proceed with peripheral nerve constriction in cerebral palsy. Thank you!
Doctor's answer:
Surgical Indications for Surgery(1) Severe pain-type cerebral palsy or mixed-type cerebral palsy with a severe pain component, with muscle tone of grade 3 or higher, severe pain that interferes with daily life and rehabilitation training.
(2) Good voluntary limb movement function, no significant muscle weakness, fixed joint contractures, and irreversible skeletal joint deformities.
(3) The severe pain condition has stabilized.
(4) Normal intelligence or reaching normal levels to facilitate postoperative rehabilitation training.
(5) Age: The optimal age is 3 to 6 years old, with a general age of 6 years and older.
2. Surgical treatment may be considered, but must be confirmed by the attending physician before implementation. Wishing the child a speedy recovery.