Podcast
Questions and Answers
Before what age do the early signs of cerebral palsy (CP) typically appear?
Before what age do the early signs of cerebral palsy (CP) typically appear?
Congenital cerebral palsy is caused by a permanent brain insult during which period(s)?
Congenital cerebral palsy is caused by a permanent brain insult during which period(s)?
Which of the following conditions affecting the mother during pregnancy can lead to congenital CP in the child?
Which of the following conditions affecting the mother during pregnancy can lead to congenital CP in the child?
Neonatal hyperbilirubinemia can result in which type of cerebral palsy if left untreated?
Neonatal hyperbilirubinemia can result in which type of cerebral palsy if left untreated?
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Which of the following is the LEAST likely cause of acquired cerebral palsy?
Which of the following is the LEAST likely cause of acquired cerebral palsy?
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Considering the causes of congenital CP, which scenario presents the HIGHEST risk for a newborn developing cerebral palsy?
Considering the causes of congenital CP, which scenario presents the HIGHEST risk for a newborn developing cerebral palsy?
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A researcher is investigating the correlation between prenatal care quality and the incidence of congenital cerebral palsy in a specific population. Which of the following data points would provide the STRONGEST evidence supporting a causal relationship between inadequate prenatal care and increased CP risk?
A researcher is investigating the correlation between prenatal care quality and the incidence of congenital cerebral palsy in a specific population. Which of the following data points would provide the STRONGEST evidence supporting a causal relationship between inadequate prenatal care and increased CP risk?
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Which of the following best describes the primary mechanism of injury in Shaken Baby Syndrome (SBS)?
Which of the following best describes the primary mechanism of injury in Shaken Baby Syndrome (SBS)?
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A hallmark clinical sign of Shaken Baby Syndrome (SBS) is:
A hallmark clinical sign of Shaken Baby Syndrome (SBS) is:
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Why are babies more susceptible to Shaken Baby Syndrome (SBS)?
Why are babies more susceptible to Shaken Baby Syndrome (SBS)?
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During the initial emergency care for a patient with suspected Shaken Baby Syndrome (SBS), what is the MOST critical intervention?
During the initial emergency care for a patient with suspected Shaken Baby Syndrome (SBS), what is the MOST critical intervention?
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A physical therapist is treating a child years after the initial trauma from Shaken Baby Syndrome (SBS). Which of the following impairments are they least likely to address, considering the long-term effects of SBS?
A physical therapist is treating a child years after the initial trauma from Shaken Baby Syndrome (SBS). Which of the following impairments are they least likely to address, considering the long-term effects of SBS?
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Which of the following is NOT typically considered a secondary condition associated with cerebral palsy (CP)?
Which of the following is NOT typically considered a secondary condition associated with cerebral palsy (CP)?
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A child with CP sees an array of medical professionals as part of the multidisciplinary approach. Which of the following professionals is LEAST likely to be involved in the medical management of CP?
A child with CP sees an array of medical professionals as part of the multidisciplinary approach. Which of the following professionals is LEAST likely to be involved in the medical management of CP?
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What is the primary purpose of a selective dorsal rhizotomy in the management of cerebral palsy?
What is the primary purpose of a selective dorsal rhizotomy in the management of cerebral palsy?
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Which of the following medications is NOT typically used for the reduction of hypertonia/spasticity in individuals with cerebral palsy?
Which of the following medications is NOT typically used for the reduction of hypertonia/spasticity in individuals with cerebral palsy?
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Why is intrathecal baclofen administration often preferred over oral baclofen for managing spasticity in cerebral palsy?
Why is intrathecal baclofen administration often preferred over oral baclofen for managing spasticity in cerebral palsy?
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What is a tenotomy procedure, often performed in managing contractures related to cerebral palsy?
What is a tenotomy procedure, often performed in managing contractures related to cerebral palsy?
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Which of the following is the MOST significant disadvantage of administering baclofen orally for spasticity management?
Which of the following is the MOST significant disadvantage of administering baclofen orally for spasticity management?
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A child with cerebral palsy exhibits neglect of their left upper extremity and has difficulty with tasks requiring awareness of their body's position in space. Which impairment is MOST likely contributing to these challenges?
A child with cerebral palsy exhibits neglect of their left upper extremity and has difficulty with tasks requiring awareness of their body's position in space. Which impairment is MOST likely contributing to these challenges?
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A 5-year-old child with cerebral palsy is scheduled for a Baclofen pump implantation. During the pre-operative assessment, the parents express concern about the pump's maintenance. Which statement reflects the MOST accurate and comprehensive information regarding the long-term management of an intrathecal Baclofen pump?
A 5-year-old child with cerebral palsy is scheduled for a Baclofen pump implantation. During the pre-operative assessment, the parents express concern about the pump's maintenance. Which statement reflects the MOST accurate and comprehensive information regarding the long-term management of an intrathecal Baclofen pump?
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Which of the following is NOT typically assessed by therapists (PT, OT, Speech) in the acute care setting?
Which of the following is NOT typically assessed by therapists (PT, OT, Speech) in the acute care setting?
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The Rancho Los Amigos Levels of Cognitive Functioning scale is primarily used for what purpose?
The Rancho Los Amigos Levels of Cognitive Functioning scale is primarily used for what purpose?
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According to the information provided, what is a key consideration when providing coma stimulation interventions?
According to the information provided, what is a key consideration when providing coma stimulation interventions?
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In physical therapy, kinesthetic and proprioceptive awareness can be enhanced through which intervention?
In physical therapy, kinesthetic and proprioceptive awareness can be enhanced through which intervention?
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Which of the following is MOST important when using splinting, orthotics, and immobilizers?
Which of the following is MOST important when using splinting, orthotics, and immobilizers?
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What is the primary goal of physical therapy interventions related to functional mobility?
What is the primary goal of physical therapy interventions related to functional mobility?
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What aspect of posture is the MOST important to address in physical therapy interventions?
What aspect of posture is the MOST important to address in physical therapy interventions?
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What type of motor skills are re-educated by physical therapy?
What type of motor skills are re-educated by physical therapy?
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How does challenging a child with cognitive tasks performed simultaneously with motor tasks enhance their development?
How does challenging a child with cognitive tasks performed simultaneously with motor tasks enhance their development?
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Which statement BEST encapsulates the nuanced relationship between sensory input and motor output during advanced rehabilitation?
Which statement BEST encapsulates the nuanced relationship between sensory input and motor output during advanced rehabilitation?
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According to the Gross Motor Classification System, which level indicates the highest level of function for an infant or child?
According to the Gross Motor Classification System, which level indicates the highest level of function for an infant or child?
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Which of the following is a potential cause of Cerebral Palsy (CP)?
Which of the following is a potential cause of Cerebral Palsy (CP)?
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Which type of tone is characteristic of Athetoid Cerebral Palsy?
Which type of tone is characteristic of Athetoid Cerebral Palsy?
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Which of the following is a common secondary condition observed in children with Cerebral Palsy?
Which of the following is a common secondary condition observed in children with Cerebral Palsy?
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In the context of pediatric traumatic brain injury (TBI), what defines a 'traumatically induced physiologic disruption of brain functioning'?
In the context of pediatric traumatic brain injury (TBI), what defines a 'traumatically induced physiologic disruption of brain functioning'?
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Which of the following mechanisms is typically associated with a coup injury in traumatic brain injury (TBI)?
Which of the following mechanisms is typically associated with a coup injury in traumatic brain injury (TBI)?
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Epidural hematomas and increased intracranial pressure are classified as what kind of injuries following a Traumatic Brain Injury?
Epidural hematomas and increased intracranial pressure are classified as what kind of injuries following a Traumatic Brain Injury?
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A patient presents with a Glasgow Coma Scale (GCS) score of 14, loss of consciousness for approximately 25 minutes, and posttraumatic amnesia lasting approximately 30 mins. According to TBI classifications, how would this be classified?
A patient presents with a Glasgow Coma Scale (GCS) score of 14, loss of consciousness for approximately 25 minutes, and posttraumatic amnesia lasting approximately 30 mins. According to TBI classifications, how would this be classified?
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Which of the following signs and symptoms is MOST likely to appear several days after a mild traumatic brain injury (mTBI)?
Which of the following signs and symptoms is MOST likely to appear several days after a mild traumatic brain injury (mTBI)?
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A child experiences a traumatic brain injury during a sports-related incident. Neurological examination reveals a Glasgow Coma Scale (GCS) score consistently below 8, extensive physical impairments requiring ventilator support, and prolonged post-traumatic amnesia exceeding 24 hours. Assuming optimal medical management, which of the following interventions holds the HIGHEST likelihood of substantially altering the long-term functional trajectory, mitigating severe disability, and facilitating meaningful participation in age-appropriate activities, based on current evidence-based guidelines?
A child experiences a traumatic brain injury during a sports-related incident. Neurological examination reveals a Glasgow Coma Scale (GCS) score consistently below 8, extensive physical impairments requiring ventilator support, and prolonged post-traumatic amnesia exceeding 24 hours. Assuming optimal medical management, which of the following interventions holds the HIGHEST likelihood of substantially altering the long-term functional trajectory, mitigating severe disability, and facilitating meaningful participation in age-appropriate activities, based on current evidence-based guidelines?
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Flashcards
Congenital Cerebral Palsy
Congenital Cerebral Palsy
A brain condition caused by permanent insult during pregnancy, delivery, or shortly after.
Risk Factors for CP
Risk Factors for CP
Premature birth and low birth weight increase chances of developing cerebral palsy.
Prenatal Causes
Prenatal Causes
Conditions during pregnancy that can lead to cerebral palsy include infections like CMV and rubella.
Postnatal Factors
Postnatal Factors
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Acquired Cerebral Palsy
Acquired Cerebral Palsy
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Hypoxic Ischemic Encephalopathy
Hypoxic Ischemic Encephalopathy
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Neonatal Hyperbilirubinemia
Neonatal Hyperbilirubinemia
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Cerebral Palsy (CP)
Cerebral Palsy (CP)
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Vision Impairments
Vision Impairments
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Oral Motor Dysfunction
Oral Motor Dysfunction
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Medical Management of CP
Medical Management of CP
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Baclofen
Baclofen
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Intrathecal Baclofen Pump
Intrathecal Baclofen Pump
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Seizure Disorders Medications
Seizure Disorders Medications
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Common Side Effects of Baclofen
Common Side Effects of Baclofen
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Secondary Conditions of CP
Secondary Conditions of CP
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Shaken Baby Syndrome (SBS)
Shaken Baby Syndrome (SBS)
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Symptoms of SBS
Symptoms of SBS
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Initial care for SBS
Initial care for SBS
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Neck Structure in Babies
Neck Structure in Babies
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Diagnosis methods for SBS
Diagnosis methods for SBS
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Rancho Los Amigos Levels
Rancho Los Amigos Levels
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Cognitive Functioning Assessment
Cognitive Functioning Assessment
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Coma Stimulation Interventions
Coma Stimulation Interventions
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Proprioceptive Awareness
Proprioceptive Awareness
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Sensory Integration (SI)
Sensory Integration (SI)
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Functional Mobility Training
Functional Mobility Training
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Dynamic Balance Activities
Dynamic Balance Activities
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Developmental Motor Skills
Developmental Motor Skills
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Postural Issues
Postural Issues
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Motor Planning
Motor Planning
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Gross Motor Classification System Level I
Gross Motor Classification System Level I
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Causes of Cerebral Palsy (CP)
Causes of Cerebral Palsy (CP)
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Athetoid CP
Athetoid CP
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Common secondary condition of CP
Common secondary condition of CP
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Pediatric Traumatic Brain Injury (TBI) causes
Pediatric Traumatic Brain Injury (TBI) causes
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Primary injuries in TBI
Primary injuries in TBI
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Coup and Contrecoup injuries
Coup and Contrecoup injuries
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Classification: Mild TBI
Classification: Mild TBI
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Classification: Moderate TBI
Classification: Moderate TBI
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CDC update on Mild TBI
CDC update on Mild TBI
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Study Notes
Pediatric Neurological and Muscular Disorders
- This is a PowerPoint presentation for Stanbridge University students.
- The presentation covers a variety of neurological and muscular disorders in children.
Cerebral Palsy
- A broad term describing chronic conditions that impair posture and movement.
- A permanent, non-progressive neurological disorder.
- Caused by faulty development, injury, or damage to motor areas in the brain.
- Early signs typically appear before the age of 3.
- Pathology is connected to prenatal, perinatal, and postnatal brain insults.
- Premature births and low birth weights are high-risk factors.
- Infections during pregnancy (CMV, rubella) can damage the developing CNS.
- Neonatal hyperbilirubinemia, severe untreated jaundice, and Rh incompatibility can contribute.
- Conditions like lack of oxygen to the brain (hypoxic ischemic encephalopathy), stroke or bleeding (hemorrhage) of the fetus, and premature infant status, alongside toxicity such as drugs or alcohol use during pregnancy, can all contribute.
- Kidney infections (UTI's) in the mother can harm an infant.
- Multiple pregnancies are at higher risk.
- Acquired CP results from brain damage in the early months or years of life. Causes may include brain infections (encephalitis or meningitis), head trauma (falls, car accidents, child abuse).
Learning Objectives (Cerebral Palsy)
- Understand the etiology and causes of cerebral palsy (CP).
- Identify various types and characteristics of CP.
- Understand sensory, medical, and cognitive problems associated with CP.
- Understand the role of evaluation and ongoing assessment in the treatment of CP.
- Identify appropriate treatment strategies for different age spans in children with CP.
- Understand the roles of other healthcare professionals in managing CP.
- Be familiar with assistive technologies used for intervention.
Classification of Cerebral Palsy
- Quality/severity of muscle tone and movement
- Pattern of motor impairment or involvement
- Gross Motor Functional Classification System (includes a table)
Types of Muscle Tone
- Spastic CP- hypertonia, increased resistance to passive stretch, abnormal reflexes (clonus), hyperactive DTR, contractures, abnormal posturing
- Hypotonic CP- poorly defined muscles, decreased responses to DTR, hypermobile joints, floppy, head lag, fatigues easily
- Athetoid CP- fluctuating tone, writhing movements, stiffening, abnormal postures, dystonia
- Ataxic CP - poor balance and coordination, jerky movements, wide base of support
Modified Ashworth Scale
- A scale used to quantitatively describe muscle tone.
- Various grades (0-4) with descriptions associated with each stage.
Types of Muscle Tone (cont.)
- Spastic Cerebral Palsy: the most common form under this classification, including stiff and tight muscles making normal movement difficult, and increased resistance to stretch (can be velocity-dependent)
- Hypotonic CP: decreased muscle strength and difficulty with anti-gravity muscle control, commonly presenting as a "floppy" infant.
- The other types - Diplegia, Hemoparesis/Hemiplegia, Tetraparesis, Triplegia, Monoplegia
Classification of Cerebral Palsy (cont.) *
- The third type is a Gross Motor Functional Classification system.
- The scale categorizes by the severity or functional capability.
- It provides a qualitative, objective measure of prognosis for gross motor skills.
- Classified based on the child's skills, not age. (there are 5 levels).
Secondary Conditions of CP
- Seizures
- Cognitive/intellectual impairment
- Vision impairments
- Orthopedic issues (contractures, scoliosis, equiinovarus, hip subluxation)
- Dental problems
- Hearing loss
- Oral motor dysfunction
- Spatial awareness impairment
Management of CP
- Medical Management: Multidisciplinary approach with specialists like an optometrist, physical therapist, etc.
- Pharmaceuticals: Medications to decrease tone, control seizures, and manage reflux.
- Surgical Interventions: Gastric tube placement, baclofen pump insertion, correction of orthopedic deformities (such as contractures, tenotomy, tendon lengthening, hip dislocation/subluxation, scoliosis.
- Common medications: Baclofen, diazepam, dantrolene, botulinum toxin injections, phenol injections.
Learning Assessment Questions
- Several questions are presented in the slides, relating to the classification of CP, causes, types, the characteristics of the different kinds of CP, clinical signs, and secondary conditions.
Pediatric Traumatic Brain Injury
- Learning objectives covering causes, severity characterization, importance of the Glasgow Coma Scale and Rancho Los Amigos Levels of Cognitive Functioning , treatment plans, and the CDC's updates on pediatric concussions.
- Types of injury, clinical signs, and classifications of TBI (from mild to severe).
- Information on the CDC update on mild TBI (concussions), including recognizing symptoms, assessing the child, taking the child to a health care professional, presentations or red flags if a child is sent to an ER/hospital, and education for parents/caregivers.
- Glasgow Coama Scale.
- The Rancho Los Amigos Levels of Cognitive Functioning..
Shaken Baby Syndrome (SBS)
- Learning objectives for learning about recognition, diagnosis, health-related problems, parent education strategies, conditions involving the event, a child's injury predisposition, short- and long-term health-related issues, reporting suspected child abuse, and the institutional responsibility to report.
- Pathology of SBS, clinical signs, including pale or blue skin, lethargic eyes, trouble breathing, seizures, sleepiness or lethargy, irritability, vomiting and poor feeding.
- Medical treatment, physical therapy assessment and intervention techniques.
Rheumatic Disorders
- Learning objectives to identify types of juvenile arthritis and intervention techniques.
- Includes information about juvenile rheumatoid arthritis.
- Pathology and types of JRA, covering the clinical signs for each type (Pauciarticular, Polyarticular, Systemic). JRA's secondary factors (skeletal abnormalities, ophthalmic considerations).
- Intervention techniques, including pharmaceutical and physical therapy treatment plans discussed for each type of rheumatic disorder.
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Description
Test your knowledge on cerebral palsy (CP) and its connections to prenatal factors. This quiz covers early signs of CP, congenital causes, and risk factors associated with maternal conditions. Challenge yourself to understand the complexities surrounding this neurological condition.