Patient: At almost four months, the baby had a pediatric visit for high muscle tone and was found to have mild external hydrocephalus and 6 abnormal Vojta reflex tests. The usual abnormalities were that he still liked to clench his fist until he was more than three months old, his toes often snapped downward, sometimes his arms felt stiff, and his legs stood on adults with great strength. In addition, he often cried in his sleep during the day and in the evening. The baby’s overall development: less than two months he can lift his head, less than three months he can roll over on his side, and two days short of four months he can roll over from supine to prone. He started to play with his hands at three months. He likes to eat hands, smiles a lot, can make laughing sounds, can pronounce a, o, e, wu and so on. At four months old, he often hears the sound of m and bleat. But grasping and other fine movements are a little behind. Now he is almost 5 months old, he can reach out and grasp things, but he often throws them away after a few seconds. He has been taking medication (lysine, vitamin B1 and B6) since he was 3 months and 25 days old. He had 5 sessions of body therapy and electrotherapy in the hospital. After that I did exercises and massage by myself at home. It’s been one month since the treatment, and now the hand is mostly open, and the right toe is rarely buckled. But I feel that my arm is still stiff a lot of the time, and my left toe is still buckling. 1, recently found that twice, the baby suddenly shake a little, about 1-2 seconds of time. The baby looked natural, no strange expression, and no fever. We touched the diaper and it felt a little wet. I don’t know if he was having a urinary tremor? But I am afraid that it is a convulsion, so I would like to consult you especially to see if we need to go to the follow-up appointment earlier (I had an appointment to go to the follow-up appointment at the beginning of January). 2. I found out on the internet that there are 6 abnormalities in the Vojta reflex test and there is an 80% chance of cerebral palsy if no intervention is made. Our family was very stressed. Given the baby’s current condition, will he or she be able to fully recover in a few months with treatment? Ultrasound: Mild external hydrocephalus (subarachnoid space depth 4.6mm). EEG:Poor symmetry of bilateral hemispheres. Each lead has 4-7Hz, 25-150uv theta waves as background activity. Waveform irregularity, baseline instability, and bilateral asymmetry. More 1-3Hz, 30-170uvδ waves. A small number of 8-13Hz, 14-25Hz, 10-90uvα, β waves. Fusiform waves can be seen. Evoked potentials:suggest mild abnormalities in the left side of the auditory nerve conduction pathway. Stimulation of both ears at 90dB showed I, III and V waves in sequence. The latency and interwave period of each wave were normal. The waveform differentiation was still clear. The wave amplitude ratio was bilaterally V/I>1 and bilaterally symmetrical. Vojta reflex test: 6 abnormalities. Xiao Hua, Department of Pediatrics, Guangzhou Women and Infants Hospital: If the baby only shakes occasionally without abnormal performance, it is generally not epilepsy. The baby is mainly hypertonic and has abnormal postural reflexes, without motor developmental delay and fixed abnormal posture. Patient: In the past two days, we have been doing passive exercises for our baby, and suddenly we feel that it is very difficult to do upper limb movements. Especially the movement of crossing the upper limbs from the sides of the body to the chest, the baby resisted especially. Previously, there was only occasional big resistance. Does this mean that the baby’s muscle tone is higher? What should we do? Xiao Hua, Department of Pediatrics, Guangzhou Women and Infants Hospital: Insist on doing manual training and electrotherapy, there will be improvement. Patient: Is it okay if we grind brain protein and vitamin B1 and B6 into powder and take it with water together with lysine? Also, I would like to ask if the baby’s upper limb hypertonia is also due to the fact that when he cries, we still forcefully give him exercises? Should we hold off on the manipulation when the baby is crying? Guangzhou Women and Infants Hospital Pediatrics Xiao Hua: These drugs can be taken together, do not force the baby to confront when doing training, and continue when the baby relaxes.