Stories about: cerebral palsy

Cerebral palsy: How a team approach benefits spasticity

two children with spasticity from cerebral palsy

Cerebral palsy (CP) is an umbrella term that can refer to several different types of brain injury and that can affect many aspects of a child’s health. For these reasons, CP is best treated by a team of clinicians from multiple disciplines, who can address the full array of related concerns. In the Cerebral Palsy and Spasticity Center at Boston Children’s Hospital, patients receive care from multiple providers in one day, which makes managing care easier on families and encourages collaboration and communication between caring physicians. …Read More

Readers’ choice: The Notes Top 5 for 2015

tablet stethoscope top 5 reader's choice

It’s hard to believe that Notes didn’t really exist a year ago. As 2015 comes to a close, it’s a good time to look back and see what you, the readers, decided were the best stories that we published this year. And you picked an interesting range of stories:

  • an op-ed on hemophilia drug pricing
  • a reflection on difficult conversations in health care
  • a report on using simulation to test a hospital’s new emergency department
  • a call for better mentorship in medical training
  • an update on neurosurgical treatment of cerebral palsy

So here they are — the Notes Top 5 for 2015, as chosen by you.

…Read More

Expert’s Corner: Neurosurgical approaches for spastic cerebral palsy

cerebral palsy spasticity spastic cerebral palsy neurosurgery
(Jaren Jai Wicklund/Shutterstock)

The brain injuries that cause cerebral palsy also commonly cause muscle spasticity, which can limit patients’ mobility and control over their movements. Spasticity that is mild or limited in scope may respond to conservative treatments such as physical therapy, oral medications or injections of botulinum toxin (botox).

But children with severe spasticity, or spasticity that does not respond to these treatments, should be considered for neurosurgery.

In properly selected patients, therapy directed at the underlying nervous system abnormalities can markedly improve function and quality of life. According to Boston Children’s Hospital’s Shenandoah Robinson, MD, neurosurgery can also reduce bone deformation and joint damage, decreasing the need for orthopedic surgery.

…Read More