spastic quadriplegia with dystonia

http://formsofcerebralpalsy.com/quadriplegia.html

Spastic Cerebral Palsy : Spastic Quadriplegia : Diplegia : Hemiplegia
Malpractice settlements : Spastic cerebral palsy : Spastic quadriplegia, diplegia, triplegia, hemiplegia, monoplegia.
www.cerebral-palsy.us.com/spastic.html -

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Spasticity management in the child with spastic quadriplegia
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The movement disorder. in spastic quadriplegia is usually a mixture of spasticity. and dystonia, referred to by some as `spastic dystonia' ...
www.blackwell-synergy.com/doi/pdf/10.1046/j.1468-1331.2001....


The first issue in the assessment of the child with CP who is referred for management of spasticity is to determine whether the increased tone relates to spasticity, dystonia, or both, and what is the relative contribution of each to the overall hypertonia.

http://www.medscape.com/viewarticle/550745_3

Dystonia describes variable hypertonia which need not be associated with other clinical correlates of an upper motor lesion and indicates involvement of midbrain or basal ganglion structures rather than the motor cortex. The muscles show low tone at rest, or in sleep, but are spastic in action. Involuntary muscle contractions, which may be sustained or intermittent, cause twisting and other repetitive movements, or normal postures, or a mixture of the two. Dystonia has been defined as the production of one type of muscle activity when another was intended or would be more functionally appropriate.

Clinical types of cerebral palsy

When the terms used to describe the distribution of involvement of the limbs and trunk (diplegia, paraplegia, hemiplegia, quadriplegia and rarely monoplegia or triplegia) are combined with the type of movement disorder present, a simple classification of cerebral palsy emerges.

* Dystonic, predominantly abnormal tone Spastic 65% Quadriplegia 25%
* Diplegia 20%
* Hemiplegia 20%
* Dystonic Usually regarded as spastic

http://www.tvcc.on.ca/gateway.php?id=168&cid=2

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Note added at 19 hrs (2007-06-03 09:00:45 GMT)
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Plot:
Christy Brown is a spastic quadriplegic born to a large, poor Irish family. His mother, Mrs Brown, recognizes the intelligence and humanity in the lad everyone else regards as a vegetable.

http://movies.toptenreviews.com/reviews/mr211593.htm