Anesthesia in the Child with Cerebral Palsy

  • Dinesh K. ChoudhryEmail author
  • Mary C. Theroux
Living reference work entry


Cerebral palsy (CP) is a nonspecific, descriptive term that encompasses a constellation of symptoms due to neurologic lesion resulting from the insult to the developing brain sustained early in life. Although the neurologic lesion in CP is nonprogressive, the motor dysfunction due to spasticity may be progressive leading to spinal deformities, joint contractures, and dislocations requiring medical and surgical interventions. Anesthetic care for children with cerebral palsy is fraught with significant concerns for anesthesia provider and careful attention to all aspects of perioperative care is necessary. Perioperative planning and care should include thorough preoperative assessment, attention to co-morbidities, management of chronic medications, meticulous intraoperative care to maintaining normothermia, and adequate replacement of fluid and blood products. Postoperative assessment of pain and its management are essential to facilitate recovery and uneventful perioperative course.


Cerebral palsy Hypothermia Coagulopathy Seizures Spine fusion 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Anesthesiology and Perioperative MedicineNemours/Alfred I. duPont Hospital for ChildrenWilmingtonUSA
  2. 2.Department of Pediatrics, Jefferson Medical CollegeThomas Jefferson UniversityPhiladelphiaUSA
  3. 3.Department of Anesthesiology, Jefferson Medical CollegeThomas Jefferson UniversityPhiladelphiaUSA

Section editors and affiliations

  • Freeman Miller
    • 1
  1. 1.AI DuPont Hospital for ChildrenWilmingtonUSA

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