Cerebral Palsy (2ND)

§16§Dr. Miller's valuable resource helps members of the medical team navigate the complexity of cerebral palsy care by explaining unfamiliar treatments that fall outside of their own disciplines.Readers also benefit from a review of current practices in their own fields.Includes recommended treatment algorithms and is designed to help improve decision making.Written in a very conversational style and illustrated with lots of color the volume provides rehabilitational (part 1) and surgical aspects (part 2).Accomplished by a CD-ROM which provides lots of case studies - including walking analysis.The most comprehensive title on this topic written by a leading expert. §04§Section 1 Etiology§§The Child, The Parent and the Goal§§Prematurity§§Congenital malformation§§Infections§§Congenital Metabolic§§In utero Stroke§§Problem during delivery§§Post natal encephalopathy§§Section 2 Epidemiology§§Over-view of the past 50 Years§§American experience§§European Experience§§Asian experience§§African experience§§Section 3 Pathology§§Physical pathology§§Current Imaging -PET§§Muscle changes at the cellular level§§Gross Anatomic Muscle changes in CP§§Neuro-motor junction changes§§Bone Alterations in CP§§Section 4 Diagnosis§§Over view of when and how to evaluate§§Who should get Imaging§§Indications for metabolic work up§Indications for full genetic work up§§Prognosis assessment - role of PE -Pathologic Reflexes§§Classification Terminology§§Section 5 General Medical Concerns§§Over view of Normal Natural history§§The Irritable Child with CP§§Pain in The Non-communicative Patient§§Post-operative Pain Management§§Section 6 Neurologic Problems§§Seizures - Diagnosis, Natu §02§§Freeman Miller, MD Co-Director Cerebral Palsy Program AI DuPont Hospital for Children Wilmington, DE §04§section)§§GE reflux - Work up and medical Management§§GE Reflux - Work up and Surgical Management§§Poor Intestinal Motility§§Constipation - Implications long term and treatment§§Section 9 Genito-Urinary§§Toilet training and bladder control - Expectations and when to work up§§Neurogenic Bladder§§Renal stones - risks, prevention and management§§Undescended Testicles -§§Section 10 Ear Nose and Throat§§Drooling - diagnosis, measurement and medical management§§Drooling - management with local injections - Botulinum§§Drooling - Surgical treatment options and outcomes§§Hearing Evaluation - When and How§§Cochlear Implant Indication and role in CP§§Upper Airway Obstruction - Indication for adenoid and tonsillectomy§§Section 11 Pulmonary§§Bronchopulmonary Dysplasia - Natural History, etiology and outcome§§Bronchopulmonary Dysplasia - Medical management§§Reactive airways - Chronic aspiration§§Airway obstruction - Work up and medical management§§Airway obstruction - Indication and options for §04§ surgical management§§Section 12 Endocrine§§Pitutary-hypohoseal dysfunction§§Adrenal insufficency§§Short Stature - Work up and treatment indications§§Pillow angel treatment - indication ethics approach§§Glucose intolerance due to intramuscular fat§§Premature or Delayed Sexual Maturation§§Section 13 Eyes§§Testing Sight - how when and the outcome§§Strabismus§§Cortical blindness§§Section 14 Dental§§Routine hygiene, When and how for child with CP§§Dental Caries - When to treat, how often to check outcome§§Gum Hypertrophy - etiology, and management and outcome§§Malignments - when to treat and expected outcome§§Bruxism - Management and long term outcome§§Lip biting - Management and long term outcome§§Section 15 Neuromuscular Function§§Neurologic Control of the Muscluosketal System§§Muscle tone - Spasticity -