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Post Cerebral Palsy - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   Have a 25 yr old daughter with CPalsy.
She was fine till we went on a cruise 2 yrs ago.Had a a very turbulent flight back home. Right after she felt imbalanced.
Complained of ear ache was treated for it.
Drs suspected vertigo but ruled out..nothing in MRI seen..
She needs help getting up the stairs and down..scared to walk once she puts her sock or shoes on..feels she need the soles of feet on floor :( don't know what went wrong where? Pls help. am willing to fly her out there for treatment.
Doctor :   hi
Doctor :  
let me read it.
User :   Hello
Doctor :  
is she undergoing any treatment now?
User :   nope
User :   she was last diagnosed as probably anxiety or panic disorder and was prescribed medication for it.
User :   that is if needed
User :   Could I ask from what city are you chatting from Dr.?
Doctor :  
cerebral palsy is a group of non-progressive, non-contagious motor conditions that cause physical disability in human development, chiefly in the various areas of body movement.
User :   She was walking just fine..before this cruise...
User :   now when she wants to go from carpeted area to a non-carpeted area she would hesitate to cross for a second or two and then would. Has never had a fall :(
User :   ??????????????
Doctor :  
Doctor :  
does she have any speech difficulty?
User :   she has always had speech difficulty and is the same as she was all this time no changes
Doctor :  
does she have tremors?
User :   tremors like how..she tends to get when all of sudden loud noises or stuff
Doctor :  
Doctor :   since when is she having speech difficulties?
User :   since she was a baby
Doctor :  
User :   what does speech have to do with her imbalance issues?
Doctor :  
these are relevant questions as per her symptoms.
User :   ok go on...
Doctor :  
doe she have movement co ordination difficulties?
Doctor :  
like eating
Doctor :  
or doing other minor activities
User :   she has some issues but not eating.. she can feed herself
User :   and no changes there
Doctor :  
Doctor :  
it is suggestive of motor function defect
User :   all of a sudden?
Doctor :  
since these functions are learned functions
Doctor :  
they need to be re introduced to her like walking and speech.
User :   but she can walk fine on carpeted area... when without shoes...anywhere
User :   only when she puts on her shoes or slips on socks she feels unsafe
Doctor :  
that is only known as co ordination difficulties.
User :   So you suggesting kinda rehab for her?
Doctor :  
Neurological re habilitation centers will provide the essential training.
User :   so you say not anxiety disorder or cannot be inner ear problem
Doctor :  
Speech therapy helps control the muscles of the mouth and jaw, and helps improve communication.
Doctor :  
Physical therapy (PT) programs are designed to encourage the patient to build a strength base for improved gait and volitional movement.
User :   Will she regain her independency?
Doctor :  
Occupational therapy helps adults and children maximise their function, adapt to their limitations and live as independently as possible.
User :   so you don't think it's anxiety or inner ear at all?
Doctor :   Anxiety is not the cause,
Doctor :  
it is the result of what she has undergone and now suffering from.
User :   would it be safe to fly her to another country?
Doctor :  
meaning the state of paralysis is the cause for generation of her anxiety.
Doctor :  
since she is having anxiety,it is advocated to have a company all times i.e. she should not fly alone.

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