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The term spastic quadriplegia is comprised of the following:
A form of cerebral palsy, there are three types of spastic cerebral palsy:
Spastic diplegia:
Spastic hemiplegia:
Spastic quadriplegia:
Spastic quadriplegia is characterized by all four limbs being very stiff, but the individual may have a neck that appears to be "floppy," because he has no voluntary control of his neck. Because the individual has limited control of his neck and tongue muscles, his speech may be impaired, with the possibility of uncontrolled drooling. He may also suffer from seizures.
Because of the impaired speech, communicating with an individual with spastic quadriplegia may be challenging, which may make assessing his IQ level difficult. It has also been found that individuals with this condition may have moderate to severe mental retardation.
Brain damage is the primary cause of spastic quadriplegia. This brain damage may stem from an infection suffered by the mother while carrying the baby, which was then passed to the baby while still in utero, or while the baby is still in the womb. This exposure to toxins or infections can significantly affect the development of the baby's brain.
During the final trimester of a pregnancy, the baby's white matter is vulnerable and can be damaged. Since white brain matter is involved with sending signals from the brain to the rest of the body, damage to this white brain matter significantly affects the body's ability to communicate with itself and function properly. When the baby's white brain matter is affected by an infection, it forms holes or lesions, which are called periventricular leukomalacias.
If the mother contracts an infection while pregnant, this infection can spread to the uterus and placenta. When this happens, the mother's immune system will produce immune cells called cytokines to combat the infection. One of the results of cytokines is inflammation. While this inflammation is a necessary part of fighting off infections, this inflammation could adversely affect the development of the baby's brain.
Other conditions may also cause the baby to suffer from lack of oxygen to the brain. Some of these conditions could include:
A stroke to a baby in utero could also lead to brain damage and spastic quadriplegia. Fetal strokes can occur if there is a blood clot in the placenta. This blood clot could obstruct blood flow, which can hinder the essential delivery of nutrients and oxygen to the baby. The baby may also have poorly developed blood vessels in his brain, causing a lack of oxygen to the brain, and a stroke.
Individuals with spastic quadriplegia are susceptible to scoliosis because of the jerky nature of this condition. This deformity occurs over time, and will make walking even more difficult. Some other complications or deformities that may develop:
Spastic quadriplegia is normally diagnosed when the child is still an infant -- this is when the parents and/or the doctor or pediatrician notices that there is a marked delay in the development of the baby. While this condition may also cause a baby to experience a seizure before his or her 6-month anniversary, this is not an accurate indicator because not all babies with spastic quadriplegia will suffer from a seizure before this milestone.
While there is no cure for spastic quadriplegia, there are treatments that can make life more comfortable and afford more mobility for an individual with spastic quadriplegia. Such treatments include:
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