Published: 2021-01-29

Moderate mental retardation with behavior disorder in cerebral palsy: a case report

Marwita P. Satiadi, I. Gusti Ayu I. Ardani, I. Gusti Ayu T. Windiani


Mental retardation (MR) is a condition where the cessation of mental development occurs or is incomplete, mainly marked by the disruption of skill during development, affecting intelligence (cognitive, language, motor, and social abilities). Cerebral palsy (CP) is a group of motoric and physical posture development disorders caused by cerebral development impairment. Children with MR frequently have a co-occuring CP. In this case report, a 6 years old girl consulted to the psychiatric department because of emotional irritability. The patient was seen limping on one side, screaming, moving everywhere, uncooperative, imperfect sentence, not able to draw well and would scream in anger if not get what she wants. Since birth, she has weakness on her left side of the body, has a gross motor delay, still unable to take off her clothes. The patient was born through vaginal delivery at 8 months gestational age with premature rupture of membrane, cried spontaneously. During the pregnancy, the mother had routine antenatal care from the midwife and was said to be fine. The patient was diagnosed with moderate mental retardation with a significant behavioral disorder that requires attention or therapy. Pharmacological therapy of risperidone 0.3 milligram, vitamin B6 10 milligram, and folic acid 1 milligram all are taken once daily oral. MR can have a co-occuring CP and need to be treated. The treatment should consist of mental and physical therapy, as well as rehabilitation.


Cerebral palsy, Case report, Mental retardation, Intellectual disability

Full Text:



Netter F. Atlas of Human Anatomy. 5th ed. Philadelphia: Saunders. 2011;104-14.

Sadock BJ, Sadock VA. Ruiz P. Kaplan and Sadocks : Comprehensive Textbooks of Pscychiatry. 10th ed. Philadelphia: Wolters Kluwer. 2017.

Wibowo AR, Saputra DR. Prevalensi dan Profil Klinis pada Anak Palsi Serebral Spastik dengan Epilepsi. Sari Pediatr. 2012;14.

Merlina M, Kusnadi Y, Artati. Prospek Terapi Sel Punca untuk Cerebral Palsy. Cermin Dunia Kedokt 198. 2012;39.

Jan M. Cerebral Palsy: Comprehensive Review and Update. Ann Saudi Med. 2006;26.

Departemen Kesehatan RI. Pedoman Penggolongan dan Diagnosis Gangguan Jiwa di Indonesia (PPDGJ) III. III. Direktorat Jenderal Pelayanan Medik Departemen Kesehatan., editor. Departemen Kesehatan. 1993.

Association A. P. Diagnostic and Stastistical Manual of Mental Disorders (5th ed.). United States of America: American Psychiatric Publishing. 2013.

Ramerman L, Kuijper G, Scheers T, Vink M, Vrijmoeth P, Hoekstra P. Is risperidone effective in reducing challenging behaviours in individuals with intellectual disabilities after 1 year or longer use? A placebo‐controlled, randomised, double‐blind discontinuation study. J Intellect Disabil Res. 2019;63(5):418-28.