Department of Obstetrics and Gynecology, Maternal Fetal Medicine Division, Beaumont Health System, Royal Oak, MI, United States; Oakland University-William Beaumont School of Medicine, Beaumont Health, Royal Oak, MI, United States.
Department of Obstetrics and Gynecology, Maternal Fetal Medicine Division, Beaumont Health System, Royal Oak, MI, United States; Oakland University-William Beaumont School of Medicine, Beaumont Health, Royal Oak, MI, United States.
Adv Clin Chem. 2021;100:139-169. doi: 10.1016/bs.acc.2020.04.006. Epub 2020 May 23.
Cerebral palsy (CP), defined as a group of nonprogressive disorders of movement and posture, is the most common cause of severe neurodisability in children. The prevalence of CP is the same across the globe, affecting approximately 17 million people worldwide. Cerebral Palsy is an umbrella term used to describe the disease due to its inherent heterogeneity. For instance, CP has multiple (1) causes; (2) clinical types; (3) patterns of neuropathology on brain imaging and (4) it's associated with several developmental pathologies such as intellectual disability, autism, epilepsy, and visual impairment. Understanding its physiopathology is crucial to developing protective strategies. Despite its importance, there is still insufficient progress in the areas of CP prediction, early diagnosis, treatment, and prevention. Herein we describe the current risk factors and biomarkers used for the diagnosis and prediction of CP. With the advancement in biomarker discovery, we predict that our understanding of the etiopathophysiology of CP will also increase, lending to more opportunities for developing novel treatments and prognosis.
脑性瘫痪(CP),定义为一组非进行性运动和姿势障碍,是儿童最常见的严重神经残疾原因。CP 的患病率在全球范围内相同,影响全世界约 1700 万人。脑瘫是一个伞式术语,用于描述由于其固有异质性而导致的疾病。例如,CP 有多种(1)病因;(2)临床类型;(3)脑影像学上的神经病理学模式;(4)它与几种发育病理学相关,如智力残疾、自闭症、癫痫和视力障碍。了解其病理生理学对于制定保护策略至关重要。尽管它很重要,但在 CP 的预测、早期诊断、治疗和预防方面仍然没有取得足够的进展。本文描述了目前用于 CP 诊断和预测的风险因素和生物标志物。随着生物标志物发现的进步,我们预测我们对 CP 的病因发病机制的理解也将增加,为开发新的治疗方法和预后提供更多机会。