NEUROLOGICAL DYSFUNCTION ABOVE CELE LEVEL IN CHILDREN WITH SPINA BIFIDA CYSTICA: A PROSPECTIVE STUDY TO THREE YEARS
| Autor: | Bo Strömberg, Margareta Dahl, Karl‐Åke Thuomas, Elisabet Ronne‐Engström, Simone Norrlin, Bengt Lagerkvist, Gertrud Magnusson, Gunnar Ahlsten, Leif Olsen, Hans Carlson |
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| Rok vydání: | 2008 |
| Předmět: |
Male
congenital hereditary and neonatal diseases and abnormalities medicine.medical_specialty Pediatrics Severity of Illness Index Central nervous system disease Developmental Neuroscience Risk Factors medicine Humans Prospective Studies Prospective cohort study Arnold-Chiari syndrome Neurologic Examination Spina bifida business.industry Incidence Infant Newborn Infant Prognosis medicine.disease Magnetic Resonance Imaging nervous system diseases Surgery Spina Bifida Cystica El Niño Child Preschool Pediatrics Perinatology and Child Health Neurological dysfunction Female Neurology (clinical) Nervous System Diseases Congenital disease business |
| Zdroj: | Developmental Medicine & Child Neurology. 37:30-40 |
| ISSN: | 1469-8749 0012-1622 |
| DOI: | 10.1111/j.1469-8749.1995.tb11930.x |
| Popis: | The aim of this study was to characterize the neurological dysfunction above the cele level in children with spina bifida cystica. 22 neonates were investigated prospectively to a median age of three years. Before primary closure of the spinal malformation and at three and 18 months of age, MRI and inspection of vocal cord function were performed. The children were also assessed by a physical therapist at 12 and 24 months, 19 children had a Chiari malformation, 18 children developed neurological dysfunction above the cele level. Children with signs of isolated motor impairment stabilized or improved during the second year. Six children developed severe functional impairment of respiration, feeding and motor performance within the first three months of life. Severe neurological signs/symptoms were associated with myeloschisis, clinical signs of a tethered cord and recurrent periods of shunt dysfunction. |
| Databáze: | OpenAIRE |
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