Arquivos de Medicina

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Abstrato

Causes of hemiplegic cerebral palsy and its management

Pascal David

A retrospective population-based study of 169 instances with hemiplegic cerebral palsy (CP) from the South-western Swedish health care region covering the birth years 1969-1978 was conducted. The goal was to look at the prevalence, aetiology, and neurodevelopmental outcomes in preterm and full-term babies, as well as correlate pathogenetic periods, etiological factors, and clinical parameters to neuroradiology. The frequency was 0.66 per 1000 between the ages of 6 and 15. Postnatally acquired hemiplegia accounted for 11% of the total, with the majority of cases being postinfectious, iatrogenic, or posttraumatic. Prenatal (primarily circulatory brain lesions and maldevelopments) was the aetiology in 42 percent of term children with congenital hemiplegia (pre and perinatally derived), combined pre and perinatal in 9 percent, perinatal (cerebral haemorrhage, hypoxia) in 16 percent, and untraceable in 34 percent.