Cerebral Palsy
Neurological follow-up aligned with rehabilitation and functional goals.
Cerebral palsy (CP) affects movement and posture after early brain injury but is followed as a changeable functional picture rather than a fixed label. Many children also have epilepsy, vision or hearing issues, or learning difficulties. Prof. Dr. Serap Uysal provides family-centered neurological follow-up, medication coordination, and rehabilitation planning. Functional goals such as sitting, walking, and hand use are updated at every age; school and social participation are discussed at Nişantaşı follow-up visits.
Scope of assessment
CP type and distribution, associated conditions, tone, joint range, gait, and fine motor skills are documented. Epilepsy, feeding, and communication are reviewed. Imaging and EEG may be repeated according to history; spasticity management and orthotic needs are planned with the wider team. Up-to-date vision and hearing screening supports school and communication planning.
When to seek evaluation
Regular neurological follow-up is recommended after diagnosis. More frequent visits are needed when seizures increase, pain worsens, walking quality declines, or feeding fails. Functional goals should be reassessed at school transitions. Orthotic or wheelchair needs should trigger updated rehabilitation planning.
- Increasing seizure frequency despite treatment
- Rising stiffness and pain
- New limping or walking regression
- Difficulty gaining weight or feeding safely
- New behavior or attention problems at school
Visit and follow-up process
Physiotherapy and orthopedic reports may be brought to appointments. Spasticity and epilepsy medications and side effects are monitored. Developmental milestones and family goals are set together. Functional classifications may be used in notes, with family-friendly language preferred. Orthotic and rehabilitation plans are reviewed during growth spurts.
Clinical approach
The focus is increasing daily participation, not the heaviest diagnostic label. Rehabilitation should continue consistently while neurology supports the process. Families receive hopeful but realistic information because every child’s potential differs. Written communication with orthopedics, physiotherapy, and nutrition teams helps school and activity planning. Spasticity options such as botulinum toxin or oral agents are individualized, preferring home- and school-centered plans over unnecessary hospitalization.