Article,

Hemiparetic cerebral palsy: etiological risk factors and neuroimaging.

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Arq Neuropsiquiatr, 59 (1): 29--34 (March 2001)

Abstract

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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