Snapshot A 14-month-old male is brought to the pediatrician because he is not able to walk. His mother is very concerned because her friend's daughter began walking around 12 months of age. He was born at 30 weeks gestation to his 28-year-old G1P1 mother. The pregnancy was complicated by eclampsia requiring emergency Cesarean delivery. The mother also reports her son has difficulty with swallowing. Physical exam is notable for hypertonic muscle tone, absence of selective motor control, and motor delay. Introduction Nonprogressive, persistent, central nervous system disorder characterized by abnormalities in muscle tone, movement, posture login to view 2 more bullets may be accompanied by various comorbidities login to view 4 more bullets Risk factors are multifactorial, and include: prematurity (most common) login to view 3 more bullets intrauterine infections perinatal stroke intrauterine growth restriction There are spastic, dyskinetic, ataxic forms of cerebral palsy may suggest cause of cerebral palsy Presentation Evidence of motor milestone delay Delay in the disappearance, or exaggeration of primitive reflexes Motor tone and posture abnormalities Evaluation This is a clinical diagnosis requires a thorough history and physical examination MRI is obtained in login to view 1 more bullet should also be obtained when login to view 1 more bullet EEG in patients with cerebral palsy and possible seizure activity Treatment Multidisciplinary care team e.g., pediatric neurologists, orthopedic surgeons, phyiscal, educational, speech therapists, etc. Pain management Improving spasticity e.g., baclofen, diazepam, dorsal rhizotomy