How to deal with cerebral palsy in a four-and-a-half-month-old baby

Patient's question:

The baby is four and a half months old. She cannot cross her hands. When I hold her in my arms, I deliberately bring her two hands together. Her shoulder and elbow joints rub against each other very hard, and she cries and fusses. Is there a problem?

Doctor's answer:

High muscle tone is confirmed. Whether it's cerebral palsy cannot be determined now because the child is too young. It's necessary to go to the pediatric neurorehabilitation department for a systematic examination. Check for any abnormal postural reflexes, thumb adduction, plantarflexion, external rotation of the upper and lower limbs, and other issues. If necessary, a brain CT scan may also be required. Even if abnormalities are found, it cannot be definitively diagnosed as cerebral palsy. It can only be described as central coordination disorder. The first six months are the golden period for rehabilitation. It's important to take action quickly to examine and diagnose.

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