True about severity of affection of limbs in Spastic Diplegia of Cerebral Palsy is: (A) Lower limbs>Upper limps, (B) Lower limbs only, (C) Upper limbs only, (D) One upper limb and one lower limb
Answer is A. In spastic diplegia of cerebral palsy it affects lower limbs more than upper limbs , comprising approximately 80 percent of all cases. Spastic CP typically involves increased muscle tone and difficult or unusual movements. Spastic diplegia (or diparesis) is a subtype of spastic cerebral palsy in which the legs are the most affected limbs. People with spastic diplegia often have a "scissor walk," characterized by the knees turning inward/crossing. This is due to tightness in the hip and leg muscles. In some cases, the arms may also be affected, although usually to a lesser degree . Reference: GHAI Essential pediatrics, 8th edition