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首页> 外文期刊>Journal of neurology >Magnetic resonance imaging, risk factors and co-morbidities in children with cerebral palsy.
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Magnetic resonance imaging, risk factors and co-morbidities in children with cerebral palsy.

机译：小儿脑瘫患儿的磁共振成像，危险因素和合并症。

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Cerebral palsy (CP) continues to be a major problem in India. The present study provides an insight into the various clinical and neuroradiological correlates of CP. The study included 102 children with CP and was subjected to magnetic resonance imaging (MRI) of the brain. Forty-seven (46%) patients belonged to the 1-3 years age group and 84 (82%) were born at term. Of 102 children, 39 (38%) were delivered at home. Based on their tone and topographic pattern of weakness, it was found that 47 (46%) had spastic diplegia and 35 (34%) spastic quadriplegia. Hemiplegic, dystonic, and atonic CP accounted for the remaining 20%. The occurrence of severe birth asphyxia, which is rarely seen in developed countries, continues to be a major problem in developing countries, and accounted 64 (62%) of the patients. Cognitive delay (82%) was the most common co-morbidity, followed by seizure disorder (52%), feeding difficulties (22%) and visual abnormalities (29%). Ninety-one (89%) children had an abnormal MRI. Periventricular white matter injury (PWMI) was observed in 48 (47.1%), followed by diffuse encephalopathy (29%). Focal lesions (6%) and malformations (3%) were less common. In children with spastic diplegia, PWMI was the most common MRI abnormality, whereas in spastic quadriplegia, diffuse encephalopathy was most common. MRI scans help in revealing the pathologic basis of CP and had strong correlations with clinical findings.
机译：脑瘫（CP）仍然是印度的主要问题。本研究提供了对CP的各种临床和神经放射学相关的见解。该研究包括102名患有CP的儿童，并接受了大脑的磁共振成像（MRI）。 1-3岁年龄组中有47名（46％）患者，足月出生84名（82％）。在102名儿童中，有39名（38％）在家分娩。根据他们的语气和虚弱的地形模式，发现47名（46％）患有痉挛性截瘫，35名（34％）患有痉挛性四肢瘫痪。偏瘫，肌张力障碍和无力CP占剩余的20％。严重的出生窒息的发生在发达国家很少见，在发展中国家仍然是一个主要问题，占患者的64％（62％）。认知迟缓（82％）是最常见的合并症，其次是癫痫发作（52％），进食困难（22％）和视觉异常（29％）。 91名儿童（89％）的MRI异常。 48例（47.1％）观察到脑室白质损伤（PWMI），其次是弥漫性脑病（29％）。局灶性病变（6％）和畸形（3％）较少见。在痉挛性截瘫儿童中，PWMI是最常见的MRI异常，而在痉挛性四肢瘫痪中，弥漫性脑病最为常见。 MRI扫描有助于揭示CP的病理基础，并且与临床发现密切相关。

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