Frequently asked questions and answers about cerebral palsy

  Cerebral palsy, or pediatric cerebral palsy, is the abbreviation for pediatric cerebral palsy. Cerebral palsy is a common central nervous system disorder in childhood, with symptoms such as epilepsy, intellectual deficits, abnormal behavior, mental disorders and visual, auditory and speech disorders.  For parents of children with cerebral palsy, it is not only a matter of paying more time and money for treatment, but more importantly, it is a matter of worrying about the uncertainty of the child’s future, whether the child can be cured, and even if cured, whether it will affect the normal life in the future. The neurosurgeons will answer all the common questions about children with cerebral palsy.  Question 1: Are drugs helpful in the treatment of cerebral palsy?  Neurosurgeon: Clinically, drugs usually have no effect on the treatment of cerebral palsy, but nothing is absolute. Before the child is one year old, drugs can be used to produce certain effects on the growth of nerve cells and nerve fibers as well as the formation and development of nerve myelin sheaths, but after the age of one, with the complete development of the blood-brain barrier, it is difficult for drugs to enter the brain tissue, so it is difficult to achieve results. With the current medical technology, drugs cannot be used as the main treatment for cerebral palsy, and more often than not, they can only play a supplementary role in the early stage (before 1 year old).  Question 2: Is surgery a cure for cerebral palsy?  Neurosurgeon: Essentially, surgery does not cure cerebral palsy, but it can be used to correct contractures or reduce the tension of spastic muscles to prevent contractures from occurring. There are undeniable risks associated with this type of surgery, which may result in more difficulty in movement for the child. Therefore, the general advice our clinicians give to the parents of the child is to consider surgery only after the child has learned to walk. Other than that, it is encouraged to perform active stretching exercises on the muscles with increased tone in a good position and posture.  Question 3: Can cerebral palsy occur again in the same family?  Neurosurgeon: According to my clinical experience over the years, it is extremely rare for two children with cerebral palsy to occur in the same family at the same time. Therefore, parents who want to have a second child if their first child has cerebral palsy need not worry too much.  Question 4: Is cerebral palsy hereditary?  Neurosurgeon: Generally speaking, children with cerebral palsy will not have cerebral palsy when they marry and have children as adults. Therefore, children with cerebral palsy can get married and have children after they become adults. Of course, from the perspective of eugenics, it is advisable for children with cerebral palsy to undergo relevant examinations before having children when they become adults.  In addition to the above-mentioned common problems of patients and families, neurosurgeons point out that children with cerebral palsy have room for development and conditions for remission in many aspects, and as long as timely intervention and treatment can be provided, the intelligence level of most children with cerebral palsy can be restored to normal or close to normal, or even higher in some cases.  Neurosurgery experts emphasize that on the issue of rehabilitation treatment for pediatric cerebral palsy, an individualized treatment plan should be developed for each patient: firstly, early multidisciplinary rehabilitation training should be carried out; secondly, surgery should be used on the basis of rehabilitation training according to different conditions; and finally, rehabilitation training should be continued.  Neurosurgeons especially emphasize that the application of FSPR for children with cerebral palsy before the age of 6 years, especially those with combined high muscle tone, is very effective, and the postoperative period needs to be continued with long-term standardized rehabilitation training.