Falls in Cerebral Palsy

A 70-year-old male patient with a medical history of paraparetic cerebral palsy/spastic diplegia, bipolar affective disorder, and poor compliance with physiotherapy care (specifically, refusal to wear callipers) was admitted to the hospital due to recurrent falls and poor balance in the last two months. The patient also had a history of chronic kidney disease and hypertension. At the time of admission, the patient was taking multiple medications, including Amisulpride 100 mg twice daily, Bisacodyl, Carbamazepine, Gabapentin, Lactulose, Lithium Carbonate, and Phenelzine. Over the past three to four months, he had experienced as many as 30–40 falls, all occurring when he attempted to mobilize without assistance from caregivers. The patient received care four times daily and was usually able to move with the aid of a walking frame.