Comorbidities in Developmental Disorders – Chapter 2: Heterogeneity in Cerebral Palsy (ebook)
Chapter 2 of the book – Heterogeneity in Cerebral Palsy: Variations in Neurology, Comorbidity and Associated Conditions
In the 19th century, it was taught ‘know syphilis, know clinical medicine’. The equivalent in this century would be ‘know cerebral palsy, know clinical neurology’. Virtually all clinical signs can be found in studying cerebral palsy, and there are some such as subcortical refl ex function which are rarely seen in other clinical situations. When children are examined, no two children are identical, as there is considerable variation even within a commonly described topographical syndrome such as hemiplegia. The variation in complications such as hip dislocation, scoliosis and gastrointestinal (GI) motor disorders is marked.
About the complete book
In the last decade the term ’comorbidity’ has gained popularity in the field of paediatric neurodisability, with the increasing recognition that many conditions are rarely present in isolation. Within this field, the term is often used to refer to the co-occurrence of conditions more frequently than would be expected by chance, which can include instances where one condition causes the other, where they share a common cause (for example, genetic), or where they are in fact manifestations of a single condition. Whether it is valid to use the term ’comorbidity’ in all these situations, and how precisely it should be used, is something that the contributors to this book grapple with in their own fields of interest. The contributors, all world experts in their fields, also discuss what we can learn from the presence of comorbidities, however defined, about the aetiology and treatment of neurodevelopmental disabilities. In particular, they demonstrate how our increasing understanding of the mechanisms underlying the common association of many ‘comorbidities’ is helping us to understand the natural history of these conditions and improve our management of them.
Paediatricians, paediatric neurologists, child psychiatrists, neurodevelopmentalists, and physical, occupational and speech therapists working with children with developmental disabilities.
Clinics in Developmental Medicine No. 187