Jansen J, Taudorf K, Pedersen H, Jensen K, Seitzberg A, Smith T
Department of Paediatrics, Rigshospitalet, Copenhagen, Denmark.
Childs Nerv Syst. 1991 Apr;7(2):67-71. doi: 10.1007/BF00247859.
Poor upper extremity function is often recorded in meningomyelocele patients. Only 2 of the 25 patients we assessed, 5 to 19 years old, showed normal upper extremity function in the clinical neurological examination and a timed hand function test simulating daily activities. Slow performance with unsystematic variability was typical. Poor hand function correlated strongly with hydrocephalus. A trend towards better performance with increasing age may indicate that the difficulties are overcome in some patients. While patients without hydrocephalus showed a near-normal distribution in the seven subtests, patients with hydrocephalus needed more time than normal children. Patients with shunt-treated hydrocephalus did not cope as well as patients without a shunt. Mean age in the three groups differed and may partly explain the differences.
脑脊膜膨出患者常存在上肢功能不佳的情况。在我们评估的25例5至19岁患者中，只有2例在临床神经学检查和模拟日常活动的定时手功能测试中表现出正常的上肢功能。表现缓慢且变化无规律是其典型特征。手部功能不佳与脑积水密切相关。随着年龄增长表现出改善的趋势可能表明一些患者克服了这些困难。虽然无脑积水的患者在七项子测试中的分布接近正常，但脑积水患者比正常儿童需要更多时间。接受分流治疗的脑积水患者的表现不如未分流的患者。三组患者的平均年龄不同，这可能部分解释了这些差异。
