Morphological brain damage, functional disorders and the possibilities of their treatment in children with infantile cerebral palsy.
| Title: | Morphological brain damage, functional disorders and the possibilities of their treatment in children with infantile cerebral palsy. |
|---|---|
| Authors: | Popko J; Department of Children's Surgery, Medical Academy of Białystok.; Sobaniec W; Król E; Sendrowski K; Kossakowski D; Olszewski S |
| Source: | Roczniki Akademii Medycznej w Bialymstoku (1995) [Rocz Akad Med Bialymst] 1998; Vol. 43, pp. 137-44. |
| Publication Type: | Clinical Trial; Comparative Study; Journal Article |
| Language: | English |
| Journal Info: | Publisher: Akademia Country of Publication: Poland NLM ID: 9515551 Publication Model: Print Cited Medium: Print NLM ISO Abbreviation: Rocz Akad Med Bialymst Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: Białystok : Akademia, 1995- |
| MeSH Terms: | Brain/*pathology ; Cerebral Palsy/*diagnosis ; Cerebral Palsy/*rehabilitation; Cerebral Palsy/surgery ; Hemiplegia/pathology ; Quadriplegia/pathology ; Adolescent ; Child ; Child, Preschool ; Female ; Humans ; Male ; Prognosis ; Tomography, X-Ray Computed ; Treatment Outcome |
| Abstract: | Twenty-four children with infantile cerebral palsy (6 girls and 18 boys aged 3-17 years), surgically treated in the years 1993-1997, were involved in the study. Neurological-orthopaedic examinations and computer tomography (CT) of the head allowed precise diagnosis and understanding of its pathology. The group consisted of 10 patients with hemiplegia, 10 with diplegia and 4 with severe quadriplegia. In 18 children changes in the brain were largely dependent on the clinical type of paresis. In hemiparesis, unilateral changes, such as cerebral cortex atrophy with enlarged ventricles, were predominant. Diplegia cases frequently showed periventricular damage to the white matter. Brain tomography in severe quadriplegia did not always correspond to the clinical condition. CT examinations revealed no abnormalities in the brain in 6 out of 24 cases. Since the results of rehabilitation were not satisfactory, 29 surgical procedures were performed in the presented group of patients, with improved the course of therapeutic rehabilitation or nursing care in all the children. |
| Entry Date(s): | Date Created: 19990211 Date Completed: 19990305 Latest Revision: 20061115 |
| Update Code: | 20260130 |
| PMID: | 9972049 |
| Database: | MEDLINE |
Clinical Trial; Comparative Study; Journal Article