Unilateral spastic cerebral palsy - structural and functional deficits (CROSBI ID 641308)
Prilog sa skupa u časopisu | sažetak izlaganja sa skupa | domaća recenzija
Podaci o odgovornosti
Delin, Sanja ; Mejaški-Bošnjak, Vlatka ; Đuranović, Vlasta ; Đaković, Ivana ; Šoša-Kosor, Ana
engleski
Unilateral spastic cerebral palsy - structural and functional deficits
Background:Unilateral spastic cerebral palsy (US- CP) is the unilateral motor impairment, congenital or early acquired, isolated or associated with additional impairments. Brain MRI is very useful tool to identify lesions causing US-CP and presence of associated disabilities. The aim of the study was to demonstrate the structural and functional deficits of US-CP. Method: The cross- sectional study which included children born in Zadar County in the period from 2003. to 2010, involved in "C28 RCP-HR" Register of cerebral palsy of the Surveilance of Cerebral Palsy Europe (SCPE). In 38 of 13 579 cerebral palsy was diagnosed by making cumulative prevalence of 2.79‰. Functional classification of CP and MRI findings was used according to SCPE. Furthermore, 33/38 (87%) were diagnosed with spastic disorders, of which 12 children (36%) had US-CP, five (41.7%) right-sided, seven (58.3%) left-sided. Results: We found predominantly periventricular white matter lesions in 7/12 children. The involvement of additional structures in this group such as the basal ganglia was found only in one child. The remaining five children had predominantly damage of the gray matter. Interestingly, in 8/12 children (67%) were found bilateral structural damage on brain MRI, despite the fact that they had clinically clear unilateral spastic CP without functional disability on the contralateral side. All children with predominant gray matter brain damage have a higher degree of language disorders and abnormal electroencephalogram. Two children with middle cerebral artery infarction had the third degree of expressive speech disorder on the Viking scale. Two children with predominant damage of the gray matter had severe epilepsy. Conclusion: Brain MRI may help to understand morphological background of the motor impairment in children with US-CP, but the process of plasticity, brain maturation and early intervention can also contribute to the final outcome and the degree of functional deficit.
cerebral palsy ; unilateral spastic ; structure ; function
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Podaci o prilogu
83-83.
2015.
nije evidentirano
objavljeno
Podaci o matičnoj publikaciji
Neurologia Croatica
Barac, Boško ; Butković Soldo, Silva ; Tomić, Svetlana ; Mirošević Zubonja, Tea
0353-8842
Podaci o skupu
5. hrvatski kongres iz neurorehabilitacije i restauracijske neurologije s međunarodnim sudjelovanjem ; Osijek 11. - 14. studeni 2015.
poster
11.11.2015-14.11.2015
Osijek, Hrvatska