Cerebral Palsy Diagnosis & Characteristics

Information for Parents of Children with Cerebral Palsy

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Cerebral Palsy Diagnosis & Characteristics

Differential Diagnosis

If motor skills decline over time there may be genetic disease, muscle or metabolic disorder, or tumor in the nervous system, either instead of or coexistent with CP. The doctor must rule out other disorders that cause movement problems, identify any coexisting disorder, and determine if the condition is changing.

An electroencephalogram (EEG) traces electrical activity in the brain and can reveal patterns that suggest a seizure disorder.

Electromyography (EMG) and nerve conduction velocity (NCV) studies may be performed when a nerve or muscle disorder is suspected. These tests, which can be used in combination, are often referred to as EMG/NCV studies. NCV is administered before EMG and measures the speed at which nerves transmit electrical signals.

During NCV, electrodes are placed on the skin over a nerve that supplies a specific muscle or muscle group. A mild, brief electrical stimulus is delivered through the electrode and the response of that muscle is detected, amplified, and displayed. The strength of the signal is measured. Neurological conditions can cause the NCV to slow down or to be slower on one side of the body.

EMG measures nerve impulses within the muscles. Tiny electrodes are placed in the muscles in the arms and legs. The electronic responses are observed using an instrument that displays movement of an electric current (oscilloscope). As muscles contract, they emit a weak electrical signal that can be detected, amplified, and tracked, providing information about how well the muscles are working.
Cerebral palsy diagnosis depends on many factors, a team of medical professionals can make an accurate diagnosis, and assist in determining a long-term prognosis for the child. While a medical diagnosis can be determined, often what caused the cerebral palsy cannot be, click here to learn more about the possible causes of CP.
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