Hemiparetic cerebral palsy: etiological risk factors and neuroimaging
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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Academia Brasileira de Neurologia - ABNEURO
2001
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oai:scielo:S0004-282X20010001000072001-04-06Hemiparetic cerebral palsy: etiological risk factors and neuroimagingPiovesana,Ana Maria Sedrez GonzagaMoura-Ribeiro,Maria Valeriana Leme deZanardi,Verônica de AraújoGonçalves,Vanda Maria Gimenes cerebral palsy hemiparetic cerebral palsy etiology etiological risk factors computerized tomography magnetic resonance imaging children 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.info:eu-repo/semantics/openAccessAcademia Brasileira de Neurologia - ABNEUROArquivos de Neuro-Psiquiatria v.59 n.1 20012001-03-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2001000100007en10.1590/S0004-282X2001000100007 |
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Piovesana,Ana Maria Sedrez Gonzaga Moura-Ribeiro,Maria Valeriana Leme de Zanardi,Verônica de Araújo Gonçalves,Vanda Maria Gimenes |
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Piovesana,Ana Maria Sedrez Gonzaga Moura-Ribeiro,Maria Valeriana Leme de Zanardi,Verônica de Araújo Gonçalves,Vanda Maria Gimenes Hemiparetic cerebral palsy: etiological risk factors and neuroimaging |
author_facet |
Piovesana,Ana Maria Sedrez Gonzaga Moura-Ribeiro,Maria Valeriana Leme de Zanardi,Verônica de Araújo Gonçalves,Vanda Maria Gimenes |
author_sort |
Piovesana,Ana Maria Sedrez Gonzaga |
title |
Hemiparetic cerebral palsy: etiological risk factors and neuroimaging |
title_short |
Hemiparetic cerebral palsy: etiological risk factors and neuroimaging |
title_full |
Hemiparetic cerebral palsy: etiological risk factors and neuroimaging |
title_fullStr |
Hemiparetic cerebral palsy: etiological risk factors and neuroimaging |
title_full_unstemmed |
Hemiparetic cerebral palsy: etiological risk factors and neuroimaging |
title_sort |
hemiparetic cerebral palsy: etiological risk factors and neuroimaging |
description |
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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Academia Brasileira de Neurologia - ABNEURO |
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2001 |
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http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2001000100007 |
work_keys_str_mv |
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