Screening & Diagnosis of Cerebral Palsy

Screening & Diagnosis of Cerebral Palsy

Diagnosing cerebal palsy (CP) at an early age is important for the long-term outcome of children and their families.

Diagnosing CP can include several steps including Developmental Monitoring, Developmental Screening, Developmental and Medical Evaluations. 

neuroimaging techniques

Neuroimaging techniques that allow doctors to look into the brain (such as an MRI scan) can detect abnormalities that indicate a potentially treatable movement disorder. Neuroimaging methods include:

  • Magnetic Resonance Imaging (MRI) or Computed Tomography (CT): uses x-rays to create images that show the structure of the brain and areas of damage
  • Diffusion Tensor Imaging (DTI): uses a computer, a magnetic field, and radio waves to create an anatomical picture of the brain's tissues and structures. An MRI or DTI can show the type of damage and offers finer levels of details than CT. Some metabolic disorders can masquerade as CP. Most of the childhood metabolic disorders have characteristic brain abnormalities or malformations that will show up on an MRI.
  • Electtroencephalograpm: another test that uses a series of electrodes that are either taped or temporarily pasted to the scalp to detect electrical activity in the brain. Changes in the normal electrical pattern may help to identify epilepsy. 
  • Cranial ultrasound: uses high-frequency sound waves to produce pictures of the brains of young babies. It is used for high-risk premature infants because it is the least intrusive of the imaging techniques, although it is not as successful as computed tomography or magnetic resonance imaging capturing subtle changes in white matter—the type of brain tissue that is damaged in CP.
Evaluation

Doctors will order a series of tests to evaluate the child's motor skills. During regular visits, the doctor will monitor the child's development, growth, muscle tone, age-appropriate motor control, hearing, and vision, posture, and coordination in order to rule out other disorders that could cause similar symptoms. Although symptoms may change over time, CP is progressive. If a child is continuously losing motor skills, the problem more likely is a condition other than CP - such as genetic or muscle disease, metabolism disorder, or tumors in the nervous system. 

Lab tests can identify other conditions that may cause symptoms similar to those accosted with CP. 

Because many children with CP may also have related developmental conditions such as intellectual disability; seizures; or vision, hearing or speech problems, it is important to evaluate the child to find these disorders as well.