Is brain atrophy cerebral palsy?

Written by Shi De Quan
Neurology
Updated on May 31, 2025
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Cerebral palsy and cerebral atrophy are not the same disease, or even a similar category of issues. Cerebral atrophy generally affects adults and is due to vascular reasons or degenerative causes. Cerebral palsy is more common in children and involves factors from before birth, such as conditions during pregnancy, factors during the delivery process, and also factors after birth that cause permanent brain damage. It is a condition present from a young age, while cerebral atrophy is rare in children.

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Symptoms of baby brain atrophy

The symptoms of baby brain atrophy include the following: First, the child shows no interest in the surroundings, poor responsiveness, significantly reduced movements, poor sucking ability, and often chokes on milk. Second, the child with brain atrophy exhibits abnormal muscle tone and posture. Symptoms of cerebellar atrophy include difficulty in abducting the thighs, difficulty in extending the knees, legs straightened and adducted when held upright, legs crossed in a scissor-like manner, bent elbow and wrist joints, and the hands often clenched with the thumb turned inward. Third, congenital reflexes are weakened or may not appear at all, such as the rooting reflex, grasp reflex, and embrace reflex, which are either weakened or completely absent. Fourth, there is limited voluntary movement; the baby cannot reach out voluntarily to grab liked objects after five months or always uses one hand to reach for things. Fifth, there are signs of intellectual disability, delayed language development, or language disorders.

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Symptoms of cerebral atrophy

Mild cerebral atrophy may not present any clinical symptoms, and many elderly people show some degree of cerebral atrophy during imaging examinations, which should not be overly worrying. If the cerebral atrophy is more pronounced, it mainly manifests as cognitive dysfunction, such as a decline in memory, reduced computational abilities, diminished executive functions, and possibly the inability to perform complex movements, such as being unable to brush one's teeth or dress oneself. In severe cases, individuals may experience personality changes, becoming irritable, easily angered, suspicious, and may even exhibit psychiatric symptoms, primarily hallucinations.

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What should I do about brain atrophy?

Brain atrophy includes both physiological and pathological types. Physiological brain atrophy generally occurs as age increases, similar to how wrinkles appear on the face. This type does not usually present symptoms and typically does not require treatment, as some degree of brain shrinkage may happen with age. Pathological brain atrophy, however, can occur in younger individuals and requires investigation to determine the underlying cause. Diagnostic tests should be conducted to clarify the cause of the atrophy and identify any specific diseases, which will guide the treatment plan. Additionally, some patients may experience atrophy due to past events like cerebral hemorrhage or stroke, which are caused by specific lesions. In such cases, treating the original disease is the approach taken, so the treatment plan for brain atrophy should be based on the specific circumstances.

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Is brain atrophy hereditary?

There are many causes of brain atrophy; whether it is hereditary depends on the specific disease causing it. Most diseases leading to brain atrophy are not hereditary. For instance, some patients suffer brain atrophy due to Alzheimer's disease, where the neurons die irreversibly. This disease is mostly sporadic and does not have a clear hereditary tendency. Of course, a few cases of Alzheimer's do have a family history and may have a genetic propensity. Additionally, brain atrophy can also occur due to intoxication, such as from alcohol, carbon monoxide, or other toxic substances, and these cases definitely are not hereditary. Some patients experience brain atrophy due to cerebral thrombosis, which also lacks a genetic predisposition.

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Can cerebellar atrophy be treated?

Cerebellar atrophy is a finding observed in imaging studies, often discovered during imaging exams without necessarily presenting corresponding clinical symptoms. The possibility of treating cerebellar atrophy depends primarily on its underlying cause. For instance, cerebellar atrophy caused by genetic disorders, such as spinocerebellar ataxia, which results from genetic mutations, lacks highly effective treatment options. The primary approach in such cases is symptomatic treatment, including administering medications that nourish the nerves. Generally, these diseases progressively worsen. Cerebellar atrophy can also be due to neurodegenerative diseases like multiple system atrophy, which are untreatable. However, cerebellar atrophy caused by long-term alcohol consumption may improve to some extent with abstinence and high doses of vitamin B complex. Additionally, cerebellar atrophy resulting from chronic significant ischemia can be alleviated by addressing the ischemic conditions.