INTRODUCTION: Cerebral palsy is a heterogeneous disorder that can cause a lifelong disability that is associated with a nonprogressive damage in the brain. It is commonly caused by antenatal, perinatal, early postnatal and neonatal conditions. However, post-neonatal cases of acquired cerebral palsy have also been reported, and were commonly caused by infection.
CASE PRESENTATION: The father of an Indian boy, who developed severe cerebral palsy caused by submersion injury before about three months, consulted us during December, 2021 about the possible therapies for his condition. Clinical picture and brain imaging abnormalities are described, and the relevant literatures were reviewed with the aim of suggesting possible evidence-based therapies.
RESULTS: At the age of 21 months, a previously healthy boy who was living in Houston, Texas, was involved in a near fatal drowning accident. The boy was hospitalized, and severe global brain damage resulted in no vision, hearing, and motor skills. The doctors in Houston, Texas, USA told the father that his son won’t be able to ever get any motor skills back, and will remain in vegetative state factorial therapies including cerebrolysin, citicoline, piracetam.
DISCUSSION: Cerebral palsy is a heterogeneous disorder that can cause a lifelong disability that is associated with a non-progressive damage in the brain. It is commonly caused by antenatal, perinatal, early postnatal and neonatal conditions. However, post-neonatal cases of acquired cerebral palsy have also been reported, and were commonly caused by infection.
CONCLUSION: In this paper, the rare occurrence of severe postinfantile cerebral palsy is described. Emphasis is made on the possibility of using evidence-based multi-factorial therapies in cerebral palsy.
