What are the clinical types of cerebral palsy?

  In clinical practice, cerebral palsy is presented with different types of symptoms. In fact, different types of cerebral palsy are treated differently. Most people are not clear about this in the treatment process. Here are some of the types of cerebral palsy clinically.  1. Spastic hemiplegia The most common is the involvement of one side of the limb, most upper limbs are more severe than lower limbs, and the distal end is heavier than the proximal end, while the face is often not involved. Most of the children have obvious symptoms only after 3 months of age, and they show little movement of the affected limb, persistent fist clenching, no loss of grip reflex, flexion and rotation of forearm, and circle gait. This type is often accompanied by mental retardation and epilepsy, with epileptic seizures as partial or secondary generalized seizures, and strabismus is common.  This type is often accompanied by mental retardation and epilepsy. This type is mostly seen in premature infants. The child often shows hypotonia of both lower limbs within 1-3 months. This is followed by the so-called hypotonia phase, in which the child induces tonic extension of both lower extremities and crosses them in a scissor-like manner when standing and when the soles of the feet are touched on the examination bed. Finally, the child enters a spastic phase with hip and knee flexion, internal rotation of the lower extremities, and a scissor gait, which in severe cases prevents independent walking. The upper extremities are less affected, often showing abnormal posture of the upper extremities when walking, but the functional involvement of the hands is not obvious. This type of combined epilepsy is less common, accounting for about 1/5, and about 2/3 of patients have normal or critical status of intelligence, and strabismus is very common.  3. Spastic tetraplegia Most often seen in children with severe asphyxia. The muscle tone of all four extremities is increased, often in the form of coracobrachialis. It may be accompanied by supranuclear bulbar palsy, which manifests as swallowing and dysarthria, and about half of the children have epilepsy and mental retardation.  4, involuntary movement type about 10%, hypoxic brain injury and neonatal jaundice as the main cause. The infant has hypotonia in the early stage, and gradually develops extrapyramidal symptoms, such as tachycardia and other symptoms. Infants may have salivation, swallowing difficulties, speech disorders, etc. The deep tendon reflexes of the lower limbs are normal or enhanced, and there may be persistent primitive reflexes.  5. Ataxia type accounts for about 10%. In infancy, the symptoms are hypotonia, balance disorder and motor development delay. In early childhood, signs such as poor distance discrimination and intentional tremor can be found, and most of them do not have cone bundle signs.  The treatment of cerebral palsy is a very troublesome process, and people are not clear about where to start in the treatment process, so many small details are not very clear to people, so the treatment will easily take a detour, resulting in the worse the treatment. I hope these will be helpful to everyone.