Any chance of Cerebral Palsy being missed or misdiagnosed in childhood?


My lovely lad is 22 and is diagnosed with autism, learning disability, 2 different kinds of epilepsy (one confirmed, one suspected), sensory processing disorder, auditory processing disorder and language disorders (I forget exactly which terms were used now but he has severe receptive language difficulties and his expressive skills are greater than his receptive ones). The biggest problem he has is fatigue and fluctuating mobility issues. He used a mobility buggy until the age of 8, and then from around age 11 to about age 15 he was incredibly unwell, very fatigued, collapsed a number of times, had days when he could barely get out of bed and so on. He had these odd fugue states that would go on for hours where it was as if he'd been tranquilised. I had to use a wheelchair during that time as he'd tire so quickly and would sometimes just go over without warning. Numerous tests and assessments came up with no reason for this; eventually a neurologist suggested non convulsive status epilepticus and started him on epilepsy meds, which did help with the fugue states but recovery for everything else took years. He still tires quickly and when we're out walking he will often rest his left hand on my right arm for support. We have to be very careful about the amount of activity he does because he gets so tired his whole system starts to shut down and things he can usually do for himself, like getting dressed or making himself a sandwich, become really difficult tasks. You can imagine how frustrating it can be for him!
I took him to a private physio during that ill spell and she found he was weaker on one side than the other, which tallied up with pain he seemed to be experiencing down one side as well. He does seem to lean slightly when he walks although it isn't always obvious. I've also been told he has low muscle tone and when he was younger he was incredibly flexible; I'm not sure if this is still the case as if I ask him to touch his toes or something like that he usually tells me to get lost

I keep finding myself wondering if he might have a very mild case of Cerebral Palsy and if it's possible it's been missed in amongst all the other diagnoses? I've been going through his notes from birth onwards and looking up things that have been noted re development and various problems. Lots of things come up online as being possible indicators of CP but then of course they're also possible indicators of other things he has already been diagnosed with.
I would really appreciate any advice you can offer. Is there any chance this could have been missed and, if so, is it possible to get an assessment for an adult? A part of me is loath to have to start pushing for assessments again as everything is such a battle. At the same time, I'm so tired of having to explain how tired he gets to other people. I seem to be viewed as an overprotective mum who won't let her precious son spread his wings, but then none of them see him so tired he can barely function.
Thank you for reading. Sorry for such a long initial post but I've been trying to work out what to do for a while now and decided that those with the condition are always the best experts, hence coming along here to see what others think. Thank you in advance

Comments
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can you film how tired he gets and show a professional how tired your son is getting and see where to go from there, hope you and your son get the help you need0
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Hi there @ConcernedParent and welcome to the community.
I'm afraid I cant shed any light on this for you, but hopefully me posting will bump your post up to the top of the page and more people in the know will see it and offer some support.0 -
kreacher said:can you film how tired he gets and show a professional how tired your son is getting and see where to go from there, hope you and your son get the help you need
I can't really as you can't see it, he doesn't look any different to usual and I avoid letting him get that tired as it's so debilitating. I'm putting all the different bits from his various reports and assessments together, I'll take it all in to the doc and ask for an assessment referral, thank you
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Albus_Scope said:Hi there @ConcernedParent and welcome to the community.
I'm afraid I cant shed any light on this for you, but hopefully me posting will bump your post up to the top of the page and more people in the know will see it and offer some support.Hi and thank you, it might not be an answerable question! Lol, I just know with some other things I was worried about in the past there were times where someone with the condition was able to say no, it wouldn't usually present like that and I could cross it off the list. I'll get all the info together and see the doc anyway, I'm just nervous about doing it and sometimes a bit of input from people with the condition helps to allay concerns
Thank you, I'll repost once I've been and include what happened in case it's helpful for anyone else.
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Not a worry at all @ConcernedParent sometimes just hearing another's perspective can really help with the anxiety of it all. Thanks for the offer of updates, that'll really be appreciated. I hope it all goes smoothly with your doctor.0
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Diagnostic over-shadowing can occur if the CP is 'mild', it can also be missed completely if other conditions are more obvious to the medical professional.
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Thank you, Richard, this is what I'm wondering. His earliest diagnosis was autism and I feel that a lot of the mobility related issues were deemed to be behavioural rather than physical. He has such a long list of diagnoses that I'm not surprised he gets tired quickly so I get why no-one's gone looking for another explanation. I don't think anyone's ever looked over the entire history either, it tends to be what's relevant to that particular situation rather than an overview. I've written everything up and we've got a doctor's appointment next week for a referral to neurology so we'll see what happens after that. Thanks, I'll let you all know how we get on :)
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Please do! There should be a review of his entire medical history to date.
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