Hemiplegic (unilateral) cerebral palsy in northern Stockholm: clinical assessment, brain imaging, EEG, epilepsy and aetiologic background factors
Autor: | Jonas K. E. Persson, Bengt Isberg, Elsa Tillberg |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
Male
Pediatrics medicine.medical_specialty Delayed Diagnosis Hemiplegic cerebral palsy Population Hemiplegia Neuroimaging Brain imaging Background factors Electroencephalography Cerebral palsy 03 medical and health sciences Epilepsy 0302 clinical medicine Aetiologic background Pregnancy 030225 pediatrics Humans Medicine EEG Child education Sweden education.field_of_study medicine.diagnostic_test Cesarean Section business.industry Cerebral Palsy lcsh:RJ1-570 Infant lcsh:Pediatrics medicine.disease Child Preschool Pediatrics Perinatology and Child Health Cohort Female School Teachers business 030217 neurology & neurosurgery Research Article |
Zdroj: | BMC Pediatrics, Vol 20, Iss 1, Pp 1-11 (2020) BMC Pediatrics |
ISSN: | 1471-2431 |
DOI: | 10.1186/s12887-020-1955-z |
Popis: | Background The purpose of this study was to describe clinical presentation, epilepsy, EEG, extent and site of the underlying cerebral lesion with special reference towards aetiologic background factors in a population-based group of children with hemiplegic cerebral palsy. Methods Forty-seven children of school- age, fulfilling the SPCE (Surveillance of Cerebral palsy in Europe)-criteria of hemiplegic cerebral palsy, identified via the Swedish cerebral palsy register, were invited and asked to participate in the study. Results Fifteen boys and six girls participated. Of the sixteen children born at term, five had no risk factors for cerebral palsy. Two out of five preterm children presented additional risk factors. Debut of motor impairment was observed in the first year of life in sixteen children. Age at diagnosis varied from 2 months to 6 years. Epilepsy was common and associated with grey- and white matter injury. Conclusions Recognizing the importance of risk factors for cerebral palsy, any child with these risk factors should be offered a check-up by a paediatrician or a paediatric neurologist. Thereby reducing diagnostic delay. Epilepsy is common in hemiplegic cerebral palsy and associated with grey- and white matter injury in this cohort. |
Databáze: | OpenAIRE |
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