Abstract
Introduction: Cerebral palsy is a term used to describe a range of diseases caused by non-progressive brain injury that occurs before, during, or after birth. There are numerous causes. Although the brain damage does not change and cannot be cured, the symptoms may change over time.
 Case Presentation: Here we discuss a 10-year-old female child with a complaint of involuntary movement of hand legs from the morning with another complaint of cough, cold, fever from 4 days. After undergone a thorough investigation and physical examination made the final diagnosis was Cerebral Palsy with Gross Developmental Delay with Lower Respiratory Infection with Hypoxia (80%). The case report aims to help diagnose such type of case and help to get early treatment with management.
 Conclusion: In this case report, we mainly focus on patient signs and symptoms. According to that deliver medical and nursing management. After being given medical and nursing management patient's condition was improving.
Highlights
Cerebral palsy is a term used to describe a range of diseases caused by nonprogressive brain injury that occurs before, during, or after birth
Post-impairment syndrome is common in adults with Cerebral palsy (CP)
This is often difficult to diagnose as its symptoms mimic other conditions related to CP including fatigue, weakness, and repetitive strain injuries
Summary
Cerebral palsy (CP) is the leading cause of childhood disability affecting function and development. The incidence of the condition has not changed in more than 4 decades, despite significant advances in the medical care of neonates. It is not a single disease but a symptom complex of a wide variety of static neuromotor impairment syndromes occurring secondary to a lesion in the developing brain [1,2,3]. Post-impairment syndrome is common in adults with CP This is often difficult to diagnose as its symptoms mimic other conditions related to CP including fatigue, weakness, and repetitive strain injuries. Many adults with CP experience a decline in walking ability and function despite that 70-80% walk independently or with gait aids. Maintenance of walking ability is important for independence, quality of life and participation in social activities [5]
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