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Spastic quadriplegic cerebral palsy

Spastic quadriplegic cerebral palsy (CP) is the most severe form of spastic CP, affecting all four limbs, the trunk, and face. It causes widespread muscle stiffness and poor motor control, which can lead to serious mobility and health complications. In some cases, spastic quadriplegia is caused by a preventable birth injury, and families may be eligible for financial support.

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About 70% of cerebral palsy cases result from a birth injury. Was your child one of them?

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What is spastic quadriplegic cerebral palsy?

A smiling child with cerebral palsy in a wheelchair doing therapy exercises with a caregiver.Spastic quadriplegic cerebral palsy is a severe form of CP that affects muscle control in the arms, legs, and body. It causes extreme muscle stiffness (spasticity) in all four limbs and can impact speech, swallowing, and coordination.

This type of cerebral palsy is also known as bilateral spastic CP and is usually caused by brain damage that occurs before, during, or shortly after birth.

Children with spastic quadriplegic cerebral palsy typically need lifelong care, including physical therapy, medical equipment, and support with daily activities.

In some cases, the condition may have been caused by a preventable medical error — and families could be entitled to financial compensation.

Cerebral Palsy Guide works with a network of top birth injury lawyers across the country. Our legal partners have recovered over $1 billion for families affected by cerebral palsy and other birth injuries. We may be able to help your family, too.

Get a free case review right now to see if you could be eligible to receive money for your child’s lifelong care.

Symptoms of spastic quadriplegic cerebral palsy

Spastic quadriplegic cerebral palsy symptoms can vary depending on the individual and the severity of their condition. Recognizing these signs early is critical for getting proper treatment and support.

5 common symptoms of spastic quadriplegic cerebral palsy include:
  1. Abnormal movements and posture: Jerky movements, scissoring of the legs, and problems with balance or coordination
  2. Muscle issues: Stiff or floppy muscles, increased muscle tone (spasticity), and general weakness
  3. Mobility limitations: Difficulty walking or complete inability to walk
  4. Speech and swallowing problems: Trouble speaking clearly and difficulty swallowing (dysphagia)
  5. Cognitive and sensory challenges: Learning delays, intellectual disabilities, and chronic pain in the limbs

Children with spastic quadriplegic CP often need lifelong care, including therapy, mobility support, and medical treatment. Early intervention is key to managing symptoms and improving daily life.

If you have questions about spastic quadriplegic cerebral palsy, talk to one of our on-staff nurses for free.

They can explain the condition and help you understand your options if your child is affected.

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Risk factors for spastic quadriplegic cerebral palsy

While the main cause of spastic quadriplegic cerebral palsy is injury to the developing brain, there are a number of risk factors that can make brain damage more likely to occur.

Risk factors for spastic quadriplegic cerebral palsy include:
  • Advanced maternal age (over 35)
  • Exposure to infections during pregnancy
  • Low birth weight (under 5.5 pounds)
  • Maternal conditions like preeclampsia (involving dangerously high blood pressure)
  • Multiple gestation (twins, triplets, etc.)
  • Premature birth (before 37 weeks)
  • Pregnancy or delivery complications affecting oxygen supply
  • Substance use or exposure to toxins

Doctors must closely monitor and manage these risk factors to protect a baby’s health. If they fail to do so and your child develops spastic quadriplegic CP, you may be able to sue for cerebral palsy and pursue financial aid to give your child the best possible life.

Causes of spastic quadriplegic CP

A doctor holding a tablet displaying brain scans, reviewing possible signs of cerebral palsy.Spastic quadriplegic cerebral palsy is caused by damage to the brain before, during, or shortly after birth. In rare cases, it may develop later in infancy due to a serious illness or injury, but most cases begin around the time of delivery.

This type of CP occurs when the pathways between the brain’s motor cortex and spinal cord are damaged, disrupting the ability to control movement.

Causes of brain damage linked with spastic quadriplegic CP include:

  • Birth asphyxia (lack of oxygen during or after delivery)
  • Fetal stroke
  • Gestational diabetes or other maternal health issues
  • Head trauma or physical injuries during birth
  • Kernicterus (brain damage caused by untreated jaundice)
  • Maternal and newborn infections, like meningitis or chorioamnionitis
  • Medical negligence or errors during prenatal care or delivery
  • Placental complications affecting blood or oxygen supply

When medical mistakes cause spastic quadriplegic cerebral palsy, legal action may help your family afford top-quality care, therapy, equipment, and long-term support.

Get a free case review right now to see if you may qualify.

Complications of spastic quadriplegic cerebral palsy

Children with spastic quadriplegic CP often face additional medical challenges linked to their condition. These complications can affect their daily functioning, development, and overall health.

Spastic quadriplegic cerebral palsy complications may include:
  • Ankle deformities
  • Constipation (infrequent or hard bowel movements)
  • Developmental delays
  • Hearing problems
  • Incontinence (trouble controlling bladder or bowels)
  • Joint contractures (frozen or tight joints)
  • Malnutrition
  • Respiratory issues
  • Scoliosis (curved spine)
  • Seizures and epilepsy
  • Vision problems

Many of these issues require long-term management. Getting a clear diagnosis and supportive care early on can help prevent complications from worsening.

Treatment options for spastic quadriplegia

Spastic quadriplegic cerebral palsy can’t be cured, but a range of treatments may help ease symptoms, improve movement, and support a better quality of life.

Many children also benefit from assistive devices like wheelchairs, braces, or communication tools, depending on their needs.

Learn more about treatment for spastic quadriplegic cerebral palsy below.

Medication

Spastic cerebral palsy medications may help manage muscle tightness, reduce pain, and control seizures or other symptoms.

Medications for spastic quadriplegic cerebral palsy include:
  • Anticholinergics (glycopyrrolate) to reduce drooling or tremors
  • Anticonvulsants (lamotrigine, topiramate, carbamazepine) to prevent seizures
  • Botulinum toxin (Botox®) injections to temporarily reduce limb stiffness
  • Muscle relaxants (baclofen, diazepam, dantrolene) to ease spasticity and pain

These medications are often used alongside therapy or surgery as part of a broader treatment plan.

Surgery for cerebral palsy

Cerebral palsy surgery may be recommended to reduce spasticity, correct bone or joint deformities, or improve overall mobility.

Surgical options include:
  • Feeding tube placement for children with severe swallowing difficulties or aspiration risk
  • Orthopedic surgery to lengthen tendons, align bones, or ease joint stiffness
  • Selective dorsal rhizotomy (SDR) to reduce leg spasticity by cutting spinal nerve fibers

Surgery is usually considered when other treatments haven’t provided enough relief, and it’s often followed by rehabilitation to support recovery and results.

Physical therapy

Cerebral palsy physical therapy can help children with spastic quadriplegia to improve their muscle strength, motor function, and flexibility.

Physical therapy can help children build mobility, reduce contractures, and maintain better posture over time.

Other types of therapy for spastic quadriplegic cerebral palsy

Children with spastic quadriplegic CP often benefit from both speech and occupational therapy.

Speech therapy can improve communication, understanding, and feeding. For children who are nonverbal or have trouble speaking, therapists may introduce assistive communication devices.

Occupational therapy focuses on building the fine motor skills needed for daily tasks like feeding, dressing, or using adaptive tools.

These therapies are often delivered through play-based activities to keep children engaged while working on critical skills.

Prognosis of spastic quadriplegic cerebral palsy

Spastic quadriplegic CP is a lifelong condition that often leads to significant physical and developmental challenges.

The condition itself doesn’t get worse, but its effects can be severe and typically require 24/7 care. A child’s long-term outlook depends on how serious the symptoms are and whether any other conditions are present.

Some co-occurring conditions that can impact prognosis include:

While outcomes vary, early intervention and consistent care can help prevent complications and support a better quality of life.

Get legal help for spastic quadriplegia cerebral palsy

Children with spastic quadriplegia cerebral palsy often face severe challenges, including muscle stiffness, jerky movements, and delayed motor skills. These symptoms depend on the extent of brain damage and usually require long-term support.

This kind of lifelong disability can be emotionally and financially overwhelming for families. If a medical mistake led to your child’s condition, a cerebral palsy lawsuit may help your family afford critical care like surgery, therapy, and mobility aids.

A cerebral palsy lawyer can review your case and help determine if your child’s spastic quadriplegia was preventable.

The cerebral palsy attorneys in our network have secured over $1 billion for thousands of families. We may be able to help your family, too.

Call us right now at (855) 220-1101, or get a free case review to find out if you could be eligible for financial compensation.

Spastic quadriplegic cerebral palsy FAQs

What is spastic quadriplegic cerebral palsy?

Spastic quadriplegic cerebral palsy is the most severe type of cerebral palsy. It affects muscle control and coordination in all four limbs (both arms and both legs) as well as the trunk and face. It’s caused by widespread damage to the brain’s motor control centers.

Children with spastic quadriplegic cerebral palsy often have stiff muscles, trouble moving, and difficulty with basic tasks like sitting, walking, and eating.

Many also face speech challenges, seizures, and intellectual disabilities. It’s a lifelong condition that requires ongoing medical care and support.

Is spastic quadriplegia the same as cerebral palsy?

Spastic quadriplegia is a form of spastic cerebral palsy, the most common type of CP. It is considered the most severe because it affects movement in all four limbs, as well as the torso and face in many cases.

Most people with spastic quadriplegic cerebral palsy have significant mobility challenges and often rely on wheelchairs or other assistive devices for daily movement.

What is the difference between quadriplegia and spastic quadriplegia?

Quadriplegia refers to paralysis or severe weakness in all four limbs, regardless of the cause.

Spastic quadriplegia is a form of cerebral palsy that causes this widespread motor impairment due to brain damage, along with increased muscle tone and stiffness.

If you’re unsure about your child’s diagnosis and what it means for their future, our nurses can help — at no cost to you. Call us at (855) 220-1101 right now.

What are the symptoms of spastic cerebral palsy?

Spastic cerebral palsy causes increased muscle tone (stiffness), exaggerated reflexes, and jerky movements.

Symptoms vary depending on which limbs are affected and may include difficulty walking, limited range of motion, and muscle contractures.

Spastic quadriplegic cerebral palsy may occur before birth, during labor, or shortly after delivery. In some cases, medical negligence, such as failing to prevent oxygen deprivation, may be responsible.

If you suspect a doctor’s mistake led to your child’s condition, our team may be able to help you access financial compensation through a cerebral palsy lawsuit.

Get a free case review right now to see if you qualify.

Can people with spastic quadriplegic cerebral palsy walk?

Most people with spastic quadriplegic cerebral palsy are unable to walk independently due to severe muscle stiffness and motor impairments in all four limbs. Many require wheelchairs or other mobility aids.

However, each child’s abilities can vary. Early intervention with therapies and assistive devices may help improve mobility and function over time.

Can people with spastic quadriplegic cerebral palsy talk?

Many people with spastic quadriplegic cerebral palsy have difficulty speaking due to muscle stiffness in the face, tongue, and throat. Some are nonverbal and may use communication devices, while others develop limited or delayed speech.

What is the life expectancy of someone with spastic quadriplegic cerebral palsy?

The life expectancy for someone with spastic quadriplegic cerebral palsy can vary depending on the severity of the brain injury and any related health complications.

While many individuals live well into adulthood, those with more severe cases may face a slightly shorter lifespan due to challenges like feeding difficulties, respiratory issues, or recurrent infections.

Reviewed by:Katie Lavender, RN

Registered Nurse

  • Fact-Checked
  • Editor

Katie Lavender has over 10 years of experience as a Registered Nurse in postpartum mother/baby care. With hands-on experience in Labor and Delivery and a role as a Community Educator for newborn care, Katie is a staunch advocate for patient rights and education. As a Medical Reviewer, she is committed to ensuring accurate and trustworthy patient information.

Cerebral Palsy Guide was founded upon the goal of educating families about cerebral palsy, raising awareness, and providing support for children, parents, and caregivers affected by the condition. Our easy-to-use website offers simple, straightforward information that provides families with medical and legal solutions. We are devoted to helping parents and children access the tools they need to live a life full of happiness

  1. Centers for Disease Control and Prevention. (2024). Cerebral palsy: Treatment. Retrieved from https://www.cdc.gov/cerebral-palsy/treatment/index.html.
  2. Cleveland Clinic. (2025). Spastic cerebral palsy. Retrieved from https://my.clevelandclinic.org/health/diseases/spastic-cerebral-palsy.
  3. National Center for Advancing Translational Sciences. (2025). Spastic quadriplegic cerebral palsy. Retrieved from https://rarediseases.info.nih.gov/diseases/17109/spastic-quadriplegic-cerebral-palsy.
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