Patient's question:
The child is 2 years and 3 months old, unable to walk steadily. They can complete position changes but have poor coordination. When walking, the body sways, and the direction is inaccurate, a drunken gait. The feet are slightly everted. Grasping and holding are weak, but they can pinch small objects and interlock fingers. The muscle tone of both lower limbs is normal, with a hip angle of 180° and an ankle dorsiflexion angle of 80°.Doctor's answer:
The patient has athetoid cerebral palsy, a type of cerebral palsy characterized by abnormal, involuntary movements. The pathological mechanism involves lesions in the basal ganglia of the brain, with the cause often attributed to bilirubin encephalopathy or severe hypoxic-ischemic encephalopathy. According to neurodevelopmental standards, it can be further classified into hyperkinetic and dystonic types. The former is characterized by hyperkinetic symptoms, while the latter presents with increased muscle tone and torsional spasms centered around the body axis and proximal joints. The former results in less severe motor disability, whereas the latter is more severe. Different regions of the basal ganglia in children are selectively affected by injury. Full-term infants suffering from asphyxia may selectively damage the putamen and thalamus, while bilirubin encephalopathy tends to selectively damage the globus pallidus.Top hospitals in Shanxi:
Jincheng Anfu Coal and Mining Group General Hospital, Shanxi Province
Datong Fifth People's Hospital
Shanxi Occupational Disease Hospital