Evaluating a Child for Cerebral Palsy

There is no single test that diagnoses a child with cerebral palsy. Cerebral palsy is the result of multiple causes so it is important to identify the specific cause(s) to determine treatment. Tests that help determine if a child has cerebral palsy include developmental screening, medical evaluations and developmental monitoring. Developmental screening consists of small tests that measure delay in motor or movement. It is best to evaluate these delays at age 9 months, 18 months, and 24 months. The screenings may be interviews with the child’s parents or tests that the doctor actually gives to the child. Medical evaluations look at reflexes, posture and muscle tone. The doctor should look carefully at the child’s medical history and rule out any disorders that could cause similar problems. Additional tests can be done to try and find the cause of cerebral palsy by doing brain imaging tests, EEG, genetic testing, or metabolic testing.

It is important to monitor the child’s growth over time. At each well-child visit, the doctor should evaluate the child’s development. They should review any developmental history and speak to the parents regarding any new concerns. Regular laboratory blood tests may also be important to track levels.Children with cerebral palsy are usually diagnosed within the first year of their life. It is important to maintain doctor visits and any treatment needed. Some children with severe disabilities can grow up to be independent, productive members of society. By determining if a child has cerebral palsy early in their life, and following up with required treatment, doctor visits and support, they can live a healthy, productive life.