Skip to main content
search

Cerebral Palsy Treatment

TREATMENT PROCESS

ACCOMMODATION

VIP Stay at Mandarin Grove Health and Wellness Retreat

Prospero iconlar 06

TOTAL STAY

7 Nights

AFTERCARE

24/7 aftercare service including a bilingual chaperone to accompany you during your hospital stay.

HOSPITAL

Fully Registered Private Hospital

Contact us for a Treatment Plan

    Contact us for a Treatment Plan

      Cerebral Palsy Treatment

      Cerebral palsy (CP) is a group of neurological disorders that affect a person’s ability to move, maintain posture, and coordinate muscle activity due to damage to the developing brain, usually before, during, or shortly after birth. The condition is non-progressive, meaning it does not worsen over time, but its symptoms and impact on mobility and daily functioning can vary significantly among individuals.

      CP primarily results from abnormal brain development or injury to the motor cortex which affects voluntary muscle control, the cerebellum which impairs balance and coordination and the basal ganglia which results to abnormal movement and posture. Common causes include oxygen deprivation during birth, premature delivery, low birth weight, maternal infections during pregnancy, or traumatic brain injuries in infancy.

      Cerebral palsy is classified into four main types, based on the nature of the motor dysfunction. The most common type is spastic cerebral palsy, characterized by stiff and tight muscles, leading to difficulty in movement and coordination. Dyskinetic CP involves uncontrolled, involuntary movements, often making tasks like speaking or grasping objects challenging. Ataxic CP causes problems with balance and coordination, leading to unsteady movements and difficulty with tasks requiring precision. Mixed CP is a combination of symptoms from the above categories, often resulting in a more complex presentation.

      Symptoms of CP typically manifest in infancy or early childhood and may include delays in reaching motor milestones (such as rolling, sitting, or walking), abnormal muscle tone (either too stiff or too floppy), poor coordination, and involuntary movements.

      While there is no cure for CP, various treatments can help manage symptoms, improve quality of life, and maximize functional independence. These include: physical therapy, occupational therapy which focuses on enhancing daily living skills and improving hand-eye coordination. Speech therapy assists with communication challenges and feeding difficulties. In severe cases, surgery may be recommended to address muscle tightness, correct deformities, or improve mobility.

      Who are the eligible candidates for Cerebral Palsy Treatment?

      Eligibility for celebral palsy treatments depends on the severity of CP, the individual’s age, and the specific challenges they face. Early intervention is crucial to ensure better outcomes, as the developing brain is more responsive to therapy. Candidates for surgical interventions are typically those with severe spasticity or deformities unresponsive to non-invasive treatments.

      How is Cerebral Palsy Treatment performed?

      Cerebral Palsy involves surgical procedures such as such as selective dorsal rhizotomy (SDR) or orthopedic surgeries, which aim to alleviate spasticity or correct musculoskeletal abnormalities.

      Orthopedic surgery for cerebral palsy aims to improve movement, posture, and gait. Common procedures include muscle lengthening, arthrodesis, osteotomy, tenotomy, myotomy, tendon transfer, and tendon lengthening.

      Two neurosurgeries can also be performed. Selective dorsal rhizotomy (SDR) involves improving nerve-muscle communication by cutting abnormal rootlets with intraoperative monitoring while an intrathecal baclofen pump delivers medication directly to the spinal fluid through a pump placed in the abdominal wall for better symptom relief.

      SDR surgery is performed under general anaesthesia and takes 4 to 6 hours depending on the patient’s anatomy, the severity of the spasticity, and the number of nerve rootlets that need testing and cutting.

      Preparation for the Surgery

      Before the surgery, the patient undergoes a detailed evaluation by a multidisciplinary team, including a neurosurgeon, pediatric rehabilitation physician, orthopedic surgeon, and physical therapist.
      If there are any ongoing treatments, a copy of the treatment plan as provided by their current healthcare providers should be submitted. Records of previous treatments should also be included together with a detailed developmental history for the child highlighting motor milestones and current functional limitations.
      Clinical and functional evaluations will be done, including gait analysis, to assess the severity of spasticity and contractures, and imaging such as X-rays or MRI to evaluate joint alignment and soft tissue development. An EMG will also be performed to assess muscle activity and nerve function.

      Types of Anaesthesia

      For selective dorsal rhizotomy (SDR) surgery in children with cerebral palsy, general anesthesia is typically used to ensure the patient is completely asleep and pain-free throughout the procedure. This type of anesthesia involves administering medications that induce a state of unconsciousness, muscle relaxation, and immobility, allowing the surgeons to work on the spinal cord without causing distress or discomfort.

      Techniques for the Operation

      Selective dorsal rhizotomy (SDR) surgery begins with the patient positioned face down on the operating table. Surgeons make a small incision in the lower back and remove part of the vertebrae to access the spinal cord. They locate the nerve roots and divide them into smaller branches called rootlets. These roots are then separated into smaller branches, called rootlets, which are individually tested using electrical stimulation. The stimulation helps identify the rootlets that are misfiring and sending abnormal signals to the muscles.
      Once identified, these problematic rootlets are carefully severed, ensuring the healthy ones remain untouched to preserve normal function. After addressing the spasticity-causing rootlets, the surgeons close the spinal cord, replace the protective structures, and suture the incision, paving the way for improved mobility and independence.

      The intrathecal baclofen pump procedure involves surgically implanting a small pump device that delivers medication directly into the spinal fluid. The pump is typically placed under the skin in the abdominal area, while a catheter is threaded through the spine to the intrathecal space, where the spinal fluid circulates. Baclofen, a muscle relaxant, is then continuously administered through the catheter into the cerebrospinal fluid, which helps to reduce muscle stiffness and spasticity. The pump is programmable, allowing doctors to adjust the dosage to meet the patient’s needs. The device is refilled periodically, and it’s monitored for any potential issues to ensure optimal effectiveness and safety.

      Post-operative Key Points with Cerebral Palsy Treatment

      • For the intrathecal baclofen pump, patients may stay in the hospital for 2 to 4 days post-surgery for observation and medication adjustments. For SDR, patients typically stay in the hospital for 3 to 7 days to monitor recovery and begin physical therapy.
      • Wheelchairs, braces, or walkers can help individuals maintain independence and improve mobility.
      • Consistent therapy is vital for maintaining progress and preventing secondary complications like joint stiffness or muscle contractures.
      • Regular follow-up with healthcare providers is necessary to monitor progress and adjust treatment plans.
      • Parents and caregivers play a crucial role in creating a supportive environment and ensuring adherence to therapy regimens.
      • At Prospero Medical, we provide regular follow-up care for our patients for up to 6 months to 1 year after surgery. It is important that patients report any concerns or problems during their recovery to our clinic promptly, rather than consulting third-party specialists, to ensure the best care and avoid complications.

      Recovery Facts with Cerebral Palsy Treatment

      • After treatments like selective dorsal rhizotomy (SDR) or intrathecal baclofen pump implantation, recovery times can vary. The initial phase focuses on managing pain and preventing complications, while therapy helps improve mobility.
      • Ongoing physical therapy is a crucial part of recovery. After SDR surgery, children often begin physical therapy within 24 to 48 hours to start rebuilding strength and mobility. Therapy continues for months or even years to maximize functional improvements.
      • For intrathecal baclofen pump patients, therapy continues alongside adjustments to the medication dosage to ensure muscle spasticity is managed effectively.
      • Full recovery from these treatments may take several months to a year, as the body adjusts to the changes.
      • For the baclofen pump, the device needs to be refilled every 2 to 6 months, and its dosage may be adjusted based on the patient’s response. Regular check-ups are necessary to ensure the pump is functioning correctly.
      • Most children experience mild to moderate discomfort following surgery, but pain is managed with prescribed medications

      Benefits of having Cerebral Palsy Treatment in Turkey

      Turkey has emerged as a global hub for medical tourism, offering world-class care for conditions like cerebral palsy. It is also renowned for its rich history and warm hospitality. This unique blend makes Turkey a top destination for various treatments. Opting for cerebral palsy treatment in Turkey offers numerous benefits, some of which may even surpass the advantages of having the same treatment in one’s home country. Benefits of choosing Turkey for treatment include:

      • High level of medical expertise backed by well-established medical research and scholarship.
      • Top-class private hospitals equipped with cutting-edge technology and advanced facilities.
      • Personalized after-care, infused with the distinct warmth and hospitality that Turkey is known for.
      • Competitive prices, offering great value for money without compromising on quality.
      • Ideal recovery setting, where orthopedic and rehabilitation treatment packages can be paired with physiotherapy sessions to accelerate recovery and improve outcomes.

      How much does Cerebral Palsy Treatment cost In Turkey?

      Choosing the right clinic for cerebral palsy treatment can be a challenging task, especially with the influx of commercial advertisements and social media promotions. It’s important to carefully evaluate your options to ensure the clinic meets all the necessary criteria for providing high-quality care. So, what should you look for when shortlisting the right clinic?

      Here are some key criteria to guide your decision:

      • Honest medical advice free from any commercial interests, ensuring that your treatment plan is tailored to your needs.
      • A strong rapport between the healthcare team and the patient, demonstrating genuine empathy and a commitment to understanding concerns and managing expectations.
      • Patient well-being and safety should always be the top priority, ensuring that every decision and treatment option is carefully considered for the patient’s benefit.

      When it comes to realistic pricing and assessing the financial aspects of cerebral palsy treatment, it is important to review the following factors:

      • The professional reputation of the clinic, ensuring it is recognized for high standards of care.
      • The complexity of the procedure and the level of expertise required for effective treatment.
      • The qualifications of the surgeon and the overall quality of aftercare provided.
      • Clear terms and conditions, where clinical liabilities are transparently outlined to protect both the patient and the clinic.

      The cost of cerebral palsy treatment can vary, depending on the factors mentioned above. While price may be a motivating factor for seeking treatment abroad, prioritizing cost over quality without thoroughly evaluating the clinic’s credentials and expertise could lead to complications that might end up being more costly in the long run.

      As Prospero Medical, we are committed to offering transparent pricing, clearly outlining every service component so patients can make informed decisions. Our goal is to provide the most realistic pricing that aligns with the level of medical service, the expertise of our surgeons, and the overall quality of aftercare. We bring decades of experience in the field and are dedicated to offering top-tier, professional medical services that deliver the best possible results for our patients in Turkey.