Red flags in the history and examination that should prompt the consideration of another diagnosis
| History |
|---|
| No risk factors for CP such as: prematurity, low birthweight, multiple births, hypoglycemia, jaundice and kernicterus, intrapartum asphyxia, intracranial hemorrhage, infection, stroke, or head injuries |
| Positive family history of CP |
| Fluctuation in motor symptoms |
| Paroxysmal symptoms in relation to time of day, diet/fasting, or activity |
| Progressive neurological symptoms |
| Regression of milestones |
| Examination |
| Dysmorphic features |
| Isolated motor dysfunction such as isolated ataxia or isolated hypotonia without dystonia or spasticity |
| Peripheral nervous system abnormalities: absent reflexes, sensory signs |
| Eye movement abnormalities (e.g., oculogyria, oculomotor apraxia, or paroxysmal saccadic eye-head movements) |
| Optic atrophy/retinopathy |
CP- cerebral palsy