Cerebral palsy adult spasticity management
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Over the last few decades, Botulinum neurotoxin has evolved from a well-publicized public health threat of food-borne illness, due to contaminated foods, to a widely used therapeutic measure. Botulinum neurotoxin A is one of the seven distinct neurotoxins produced by Clostridium botulinum. The mechanism of action is to block the transmission of overactive nerve impulses to the targeted muscle by selectively preventing the release of the neurotransmitter acetylcholine at the neuromuscular junction. Its efficacy is evident in the treatment of both adults and children with spasticity of various causes. It is considered a safe therapy with most of the adverse events being self-limited and transient.
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Treatment for cerebral palsy
Cerebral palsy - Symptoms and causes - Mayo Clinic
Spastic diplegia , historically known as Little's disease , is a form of cerebral palsy CP that is a chronic neuromuscular condition of hypertonia and spasticity —manifested as an especially high and constant "tightness" or "stiffness"—in the muscles of the lower extremities of the human body, usually those of the legs , hips and pelvis. Doctor William John Little 's first recorded encounter with cerebral palsy is reported to have been among children who displayed signs of spastic diplegia. Individuals with spastic diplegia are very tight and stiff and must work very hard to successfully resist and "push through" the extra tightness they perpetually experience. Other than this, however, these individuals are almost always normal in every significant clinical sense. When they are younger, spastic diplegic individuals typically undergo gait analysis so that their clinicians can determine the best assistive devices for them, if any are necessary, such as a walker or crutches. The main difference between spastic diplegia and a normal gait pattern is its signature " scissor gait "  —a style that some able-bodied people might tend to confuse with the effects of drunkenness , multiple sclerosis , or another nerve disease. The degree of spasticity in spastic diplegia and, for that matter, other types of spastic CP varies widely from person to person.
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Spastic cerebral palsy
Aetna considers neurosurgical procedures medically necessary for the management of members with refractory spasticity when all of the following selection criteria are met:. Aetna considers the following procedures medically necessary for the management of members with spasticity:. Aetna considers selective posterior rhizotomy experimental and investigational for the treatment of spasticity in children with hemiplegic cerebral palsy because these children are unlikely to benefit from this procedure.
Cerebral palsy CP affects muscle movement and control. People with CP have it for life. There are different types of cerebral palsy. Spastic CP is the most common.