Why early diagnosis and treatment of cerebral palsy is important

Pediatric cerebral palsy, or cerebral palsy for short, is a movement disorder and postural abnormality caused by brain damage or developmental defects in children from before birth to one month after birth. The most important goal of cerebral palsy treatment is to maximize the recovery of damaged nerve cell function! Human brain development is not static and can be influenced by the ability of nerve signaling to carry out structural adjustments and reorganization of the nervous system. This also offers hope for the treatment of cerebral palsy. So, what can be done to maximize the neurological recovery of cerebral palsy patients? Infancy is the period of fastest brain development. The brain mass at birth is about 370 g. At 6 months, the brain mass is about twice as large as at birth (600-700 g); at 2 years old, it reaches 3 times as large (900-1000 g); and at 7 years old, it is close to the adult brain mass. In terms of synaptogenesis, which represents the development of neurological functions, the number of synapses produced before the age of 2 years is greater than the sum of the number produced prominently in adulthood. Therefore, infancy and early childhood are considered to be the critical period for brain development. During this period, the brain not only develops rapidly, but also has a high degree of plasticity. Brain plasticity refers to the functional adaptation of neurological defects caused by structural brain damage. It can be expressed as functional modifiability and compensatory. For example, after transplantation of cells of the visual system into other organ systems, the visual cells can change their functions and play new roles together with other surrounding cells, and show adequate functions. Compensatory means that some cells can replace the functions of other cells, such as after neuronal injury, some functions of damaged neurons can be compensated by neighboring neurons and the functions can be restored.  According to the above theory, when the brain is damaged before and after birth, early intervention treatment during the critical period of brain development may enable the brain nerve cells that are not damaged to replace the function of the already damaged nerve cells, so that the nerve function can be remodeled and the treatment of cerebral palsy can be achieved. Clinical observations also show that the younger the age of diagnosis and treatment of children with cerebral palsy, the better the outcome!  However, most children with cerebral palsy are not diagnosed until after the symptoms become apparent at the age of 1 to 2 years old, making early treatment studies for the children difficult. Delayed diagnosis is an important adverse factor affecting the healing of cerebral palsy. Analysis of the factors influencing the delayed diagnosis of cerebral palsy patients in China revealed that. The low education level of the parents of the children and the fact that the children live in rural areas are important factors contributing to the delayed diagnosis of children with cerebral palsy. Therefore, it is necessary to strengthen scientific education for parents of children in high-risk groups and make efforts to improve the early diagnosis rate of children with cerebral palsy in China. The etiology of cerebral palsy is diverse and complex. The main factors that lead to cerebral palsy in children are prenatal, perinatal and postnatal stages. (1) Prenatal factors: parents’ consanguineous marriage, family history of mental retardation, intrauterine growth retardation, history of maternal drug use during pregnancy, history of radiation exposure, pregnancy infection, multiple pregnancy, preeclampsia, etc. (2) Prenatal factors: abnormal delivery, fetal distress, birth asphyxia, hypoxic-ischemic encephalopathy, intracranial hemorrhage, preterm birth, overdue pregnancy, low birth weight, giant fetus over 4000g, etc. (3) Postnatal factors: non-infectious diseases in the neonatal period, accidental injuries, sucking weakness, feeding difficulties, etc. When the child has the above conditions before and after birth, parents should pay great attention to the development of the child. Parents should pay great attention to the development of their children when the above conditions are present before and after birth, and regularly visit an experienced pediatrician for developmental evaluation in order to achieve early diagnosis and treatment of children with cerebral palsy!