Hemiparetic cerebral palsy: etiological risk factors and neuroimaging
Autor(a) principal: | |
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Data de Publicação: | 2001 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Arquivos de neuro-psiquiatria (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2001000100007 |
Resumo: | 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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Hemiparetic cerebral palsy: etiological risk factors and neuroimagingcerebral palsyhemiparetic cerebral palsyetiologyetiological risk factorscomputerized tomographymagnetic resonance imagingchildrenThe 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.Academia Brasileira de Neurologia - ABNEURO2001-03-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2001000100007Arquivos de Neuro-Psiquiatria v.59 n.1 2001reponame:Arquivos de neuro-psiquiatria (Online)instname:Academia Brasileira de Neurologiainstacron:ABNEURO10.1590/S0004-282X2001000100007info:eu-repo/semantics/openAccessPiovesana,Ana Maria Sedrez GonzagaMoura-Ribeiro,Maria Valeriana Leme deZanardi,Verônica de AraújoGonçalves,Vanda Maria Gimeneseng2001-04-06T00:00:00Zoai:scielo:S0004-282X2001000100007Revistahttp://www.scielo.br/anphttps://old.scielo.br/oai/scielo-oai.php||revista.arquivos@abneuro.org1678-42270004-282Xopendoar:2001-04-06T00:00Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologiafalse |
dc.title.none.fl_str_mv |
Hemiparetic cerebral palsy: etiological risk factors and neuroimaging |
title |
Hemiparetic cerebral palsy: etiological risk factors and neuroimaging |
spellingShingle |
Hemiparetic cerebral palsy: etiological risk factors and neuroimaging Piovesana,Ana Maria Sedrez Gonzaga cerebral palsy hemiparetic cerebral palsy etiology etiological risk factors computerized tomography magnetic resonance imaging children |
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 |
author |
Piovesana,Ana Maria Sedrez Gonzaga |
author_facet |
Piovesana,Ana Maria Sedrez Gonzaga Moura-Ribeiro,Maria Valeriana Leme de Zanardi,Verônica de Araújo Gonçalves,Vanda Maria Gimenes |
author_role |
author |
author2 |
Moura-Ribeiro,Maria Valeriana Leme de Zanardi,Verônica de Araújo Gonçalves,Vanda Maria Gimenes |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Piovesana,Ana Maria Sedrez Gonzaga Moura-Ribeiro,Maria Valeriana Leme de Zanardi,Verônica de Araújo Gonçalves,Vanda Maria Gimenes |
dc.subject.por.fl_str_mv |
cerebral palsy hemiparetic cerebral palsy etiology etiological risk factors computerized tomography magnetic resonance imaging children |
topic |
cerebral palsy hemiparetic cerebral palsy etiology etiological risk factors computerized tomography magnetic resonance imaging children |
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. |
publishDate |
2001 |
dc.date.none.fl_str_mv |
2001-03-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2001000100007 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2001000100007 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S0004-282X2001000100007 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Academia Brasileira de Neurologia - ABNEURO |
publisher.none.fl_str_mv |
Academia Brasileira de Neurologia - ABNEURO |
dc.source.none.fl_str_mv |
Arquivos de Neuro-Psiquiatria v.59 n.1 2001 reponame:Arquivos de neuro-psiquiatria (Online) instname:Academia Brasileira de Neurologia instacron:ABNEURO |
instname_str |
Academia Brasileira de Neurologia |
instacron_str |
ABNEURO |
institution |
ABNEURO |
reponame_str |
Arquivos de neuro-psiquiatria (Online) |
collection |
Arquivos de neuro-psiquiatria (Online) |
repository.name.fl_str_mv |
Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologia |
repository.mail.fl_str_mv |
||revista.arquivos@abneuro.org |
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