Document Detail


Hemiparetic cerebral palsy: etiological risk factors and neuroimaging.
MedLine Citation:
PMID:  11299427     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The purpose of this paper, which was conducted on 175 children with hemiparetic cerebral palsy (H-CP), was to verify the etiological risk period for this disease. Etiological risk factors (ERF) were detected through anamnesis: 23% in the prenatal period, 18% in the perinatal period and 59% of the patients the period was undefined (ERF in the prenatal and perinatal period was 41% and no ERF was 18% of the cases. The computerized tomographic scan (CT) and MRI were performed on all the patients, who were then classified according to their etiopathogenic data: CT1= normal (18%); CT 2= unilateral ventricular enlargement (25%); CT 3= cortical/ subcortical cavities (28%); CT4= hemispheric atrophy and other findings (14%); CT 5= malformations (15%). CT 5 was associated with physical malformations beyond the central nervous system and with prenatal ERF's, while CT 2 was associated with the perinatal ERF's, mainly in premature births. Magnetic resonance imaging was performed on 57 patients and demonstrated a good degree of concordance with the CT. Etiology remained undefined in only 37% of the cases after neuroimaging was related to ERF. A high perinatal RF frequency (59%) was observed and emphasized the need for special care during this period.
Authors:
A M Piovesana; M V Moura-Ribeiro; Zanardi Vd; V M Gonçalves
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Arquivos de neuro-psiquiatria     Volume:  59     ISSN:  0004-282X     ISO Abbreviation:  Arq Neuropsiquiatr     Publication Date:  2001 Mar 
Date Detail:
Created Date:  2001-04-12     Completed Date:  2001-07-19     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0125444     Medline TA:  Arq Neuropsiquiatr     Country:  Brazil    
Other Details:
Languages:  eng     Pagination:  29-34     Citation Subset:  IM    
Affiliation:
Pediatric Neurology Division, Department of Neurology, Faculty of Medical Sciences, State University of Campinas, Campinas, Brazil. piovesag@fcm.unicamp.br
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MeSH Terms
Descriptor/Qualifier:
Cerebral Palsy / diagnosis,  etiology*,  pathology
Child
Child, Preschool
Female
Humans
Magnetic Resonance Imaging
Paresis / diagnosis,  etiology*,  pathology
Pregnancy
Prenatal Diagnosis
Regression Analysis
Risk Factors
Tomography, X-Ray Computed

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