In many children, the etiology is unknown, but is believed to be a perinatal insult in the majority of cases. Typically in LBW infants born prematurely. Spastic Quadriplegia Involves all four extremities. These are the most catastrophically disabled patients. Most are severely mentally retarded and have epilepsy, microcephaly, growth failure, and visual defects.
Seizures are common but cognitive function can be normal.
Motor impairments and language difficulties can be severe. Characterized by hypotonia, choreoathetosis, and dystonic movements. Physical examination with careful attention to growth patterns, dysmorphic features and skin stigmata of neurocutaneous disease, and thorough neurologic examination Clinical diagnosis of CP is based on the pattern of abnormalities on neurologic exam. Older kids may have trouble with drooling, chewing or articulation. Poor equilibrium, delayed protective response.