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SPASTIC QUADRIPLEGIA
Most severe form of spastic cerebral palsy is spastic quadriplegia, in which all four limbs and the trunk are affected. A spastic quadriplegic also has difficulties in controlling the muscles of the mouth and tongue. Children with spastic quadriplegia often are also diagnosed with mental retardation. Complications of spastic quadriplegia include dysfunction of the muscles of the mouth and tongue, seizures, increased risk for cognitive difficulties, bowel and bladder dysfunction, scoliosis, hip dislocation, tooth decay and skin sores.
Over 40% of cerebral palsy patients have a form of spastic quadriplegia. In many cases, spastic quadriplegia is the result of infections, coagulation disorders, trauma or complications during pregnancy or birth. Spastic quadriplegia occurs when there is deprivation of oxygen (asphyxia) to the brain during labor and/or delivery. When this birth asphyxia is severe or occurs for a lengthy period of time, it can result in brain damage called hypoxic-ischemic encephalopathy, which causes infant death or paralysis.
This oxygen deprivation can result in the most severe form of spastic cerebral palsy. It damages the part of the brain that controls voluntary movements, the motor cortex. When the motor cortex is damaged, it is hard for the brain to communicate with the muscles on either side of the body. This damage to the motor cortex on the left side of the brain also makes it difficult for a spastic quadriplegic child to control movements on the right side of their body and damage to the motor cortex on the right side makes it difficult to control movements on the left side of the body.
According to the essential criteria developed by the American College of Obstetricians and Gynecologists, in order to attribute CP to intrapartum hypoxia, the child born at 34 or more weeks of gestation must have had the clinical signs of severe or moderate neonatal encephalopathy, defined as seizures, abnormal tone, poor feeding, and a depressed level of consciousness within the first 24 hours of life. Computed tomography (CT) scan and electroencephalogram (EEG) if obtained during the first 24 hours will be abnormal. In addition, evidence of a metabolic acidosis in fetal umbilical cord arterial blood obtained at delivery (pH< 7and base deficit >/ = 12 mmol/L) is needed, as well as exclusion of other identifiable etiologies such as trauma, coagulation disorders, infectious conditions, or genetic disorders. While the cause of cerebral palsy may vary, the most common form of CP attributable to acute hypoxic intrapartum events is spastic quadriplegic. Spastic quadriplegia, however, may result from causes other than intrapartum hypoxia. Other complications spastic quadriplegia usually will include epilepsy. Extensive bilateral cerebral and basal ganglia lesions, associated with spastic quadriplegia and the most adverse outcome, commonly signal epilepsy and severe cognitive, motor, visual and auditory impairments.
SPASTIC QUADRIPLEGIA CEREBRAL PALSY LAWSUIT EVALUATION - TALK TO AN ATTORNEY
 If your child has been diagnosed with spastic quadriplegia cerebral palsy and you believe that it may have been caused by a medical mistake, then call us for a Free & Confidential Consultation. Talk to a Board Certified Personal Injury Trial Lawyer at 1-800-883-9858 or click here for a Cerebral Palsy Lawsuit Evaluation Form
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FREE CASE EVALUATION
If your baby has been diagnosed with Cerebral Palsy and you believe that medical malpractice may have occurred by your Doctors, ObGyn, nurses, assistants and/or hospital staff, then you may have a Cerebral Palsy Legal Action for legal damages against those that may have caused or contributed to your child's condition.
If you have a question regarding any aspect of a medical malpractice / cerebral palsy lawsuit, then call and talk to a trial attorney with over 20+ years experience. Don't wait, get your questions answered today. Contact: Cerebral Palsy Attorney
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COMMON QUESTIONS
Question: What are the most common causes of cerebral palsy?
Answer: During the birth, many times the child’s ability to obtain needed oxygen is a chief cause of cerebral palsy. It may result from premature separation of the placenta, too large of baby for the birth canal or pelvis, too long or too abrupt of labor, awkward and/or breech deliveries, cord entanglement, excessive Pitocin, shoulder dystocia, failure to order timely cesarean (c-section), placenta abruptus, excessive force or use of vacuum or forceps, and ruptured uterus. In additional cerebral palsy may occur when there is presence of birth asphyxia, a vaginal birth after a caesarean delivery (VBAC) with a ruptured uterus, neonatal depression, static encephalopathy, fetal bleeding, periventricular leukomalacia, fetal distress during labor, an abrupted placenta and/or hypoxic ischemic encephalopathy,
Question: What are the early signs that may indicate a birth injury or birth trauma may have occurred ?
Answer: Early signs of cerebral palsy may include but limited to low apgar scores, child born with low ph or acidosis, a child born with a bluish skin tone, seizure immediately after birth, cerebral edema, difficulty breathing on its own and a child born severely bruised at birth. These signs may show evidence of a forced delivery or excessive force or trauma on the infant during birth.
Question: What are the physical signs or common symptoms that indicate that a child may have cerebral palsy ?
Answer: A child with cerebral palsy may have limbs that are hard to move or stiff, underdeveloped limbs, muscular hypertonicity, muscle weakness and a tendency to contractures. Cerebral Palsy (CP) child may also exhibit involuntary or uncontrolled movements ,weakness, incoordination, wide-based gait, imbalance and difficulty in depth perception.
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