Prognostic indicators in hemiparetic cerebral palsy.

Abstract:

:In an attempt to define prognostic indicators of intelligence and seizures in the hemiparetic cerebral palsy population, birth histories, electroencephalograms, and computerized tomographic (CT) scans were reviewed in 52 children with hemiparetic cerebral palsy. Cases were excluded when the hemiparesis might have been related to events beyond the neonatal period, such as meningitis, trauma, focal seizures, tumor, or vascular insults. Detailed neurological histories and examinations were done in all patients. Intellectual evaluations, electroencephalograms, and CT scans were obtained. There was no significant relationship of birth history to subsequent seizure development or mental retardation. In contrast, findings in electroencephalograms and CT scans correlated well with the development of seizures and abnormal intelligence. Children who shared anatomical abnormalities of commissural pathways, association pathways, or cerebral cortex were found to have a much higher incidence of seizures and abnormal intelligence.

journal_name

Ann Neurol

journal_title

Annals of neurology

authors

Cohen ME,Duffner PK

doi

10.1002/ana.410090407

subject

Has Abstract

pub_date

1981-04-01 00:00:00

pages

353-7

issue

4

eissn

0364-5134

issn

1531-8249

journal_volume

9

pub_type

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