However, recent cases of successful SDR procedures among those with spastic diplegia across all major age ranges ( years 3-40 and even above ) has finally proven its universal effectiveness and safety regardless of the age of the spastic diplegic patient.
32.
In the case of spastic diplegia there is also a permanent neurosurgical treatment for spasticity, selective dorsal rhizotomy, that directly targets nerves in the spine that cause the spasticity, and destroys them, so that the spasticity cannot be activated at all.
33.
People with spastic diplegia or other forms of spasticity, or people in intolerable pain, who cannot tolerate side effects of the higher-dose oral medications of the same medication type, are potential candidates for that medication being administered via an intrathecal pump.
34.
From what " is " known, the incidence of spastic diplegia is higher in males than in females; the Surveillance of Cerebral Palsy in Europe ( SCPE ), for example, reports a M : F ratio of 1.33 : 1.
35.
The clinical characterizations of BPP " include pseudobulbar palsy with diplegia of the facial, pharyngeal and masticory muscles ( facio-pharyngo-glosso-masticatory paresis ), pyramidal signs, and seizures . " These can result in drooling, feeding issues, restricted tongue movement, and dysarthria.
36.
A "'rhizotomy "'( } } } } ) is a term chiefly referring to a neurosurgical procedure that selectively destroys problematic nerve roots in the spinal cord, most often to relieve the symptoms of neuromuscular conditions such as spastic diplegia and other forms of spastic cerebral palsy.
37.
Among some of the people with spastic diplegia who choose to be ambulatory on either an exclusive or predominant basis, one of the seemingly common lifestyle choices is for the person to ambulate within his or her home without an assistive device, and then to use the assistive device, if any, once outdoors.
38.
Spastic triplegia, meanwhile, involves three limbs ( such as one arm and two legs, or one leg and two arms, etc . ); spastic diplegia affects two limbs ( commonly just the legs ), spastic hemiplegia affects one or another entire side of the body ( left or right ); and spastic monoplegia involves a single limb.
39.
This sudden lack of oxygen is also almost always combined with premature birth, a phenomenon that, even by itself, would inherently risk the infant developing some type of CP . On the other hand, the presence of certain maternal infections during pregnancy such as congenital rubella syndrome can also lead to spastic diplegia, since such infections can have similar end results to infant hypoxia.
40.
Regardless, it should be noted that from case to case, steeply varying degrees of imbalance, potential tripping over uneven terrain while walking, or needing to hold on to various surfaces or walls in certain circumstances to keep upright, are typically ever-present potential issues and are much more common occurrences amongst those with spastic diplegia than among those with a normal or near-normal gait pattern.
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