| Hemiparetic cerebral palsy: etiological risk factors and neuroimaging. | |
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MedLine Citation:
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PMID: 11299427 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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A M Piovesana; M V Moura-Ribeiro; Zanardi Vd; V M Gonçalves |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Arquivos de neuro-psiquiatria Volume: 59 ISSN: 0004-282X ISO Abbreviation: Arq Neuropsiquiatr Publication Date: 2001 Mar |
Date Detail:
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Created Date: 2001-04-12 Completed Date: 2001-07-19 Revised Date: 2009-11-11 |
Medline Journal Info:
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Nlm Unique ID: 0125444 Medline TA: Arq Neuropsiquiatr Country: Brazil |
Other Details:
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Languages: eng Pagination: 29-34 Citation Subset: IM |
Affiliation:
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Pediatric Neurology Division, Department of Neurology, Faculty of Medical Sciences, State University of Campinas, Campinas, Brazil. piovesag@fcm.unicamp.br |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Cerebral Palsy
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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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