Palomo-Carrión Rocío, Romero-Galisteo Rita Pilar, Romay-Barrero Helena, Martínez-Galán Inés, Lirio-Romero Cristina, Pinero-Pinto Elena
Department of Nursery, Physiotherapy and Occupational Therapy, Faculty of Physiotherapy and Nursery, University of Castilla-La Mancha, 45071 Toledo, Spain.
GIFTO, Group of Research in Physiotherapy of Toledo, 45071 Toledo, Spain.
Children (Basel). 2021 Apr 22;8(5):323. doi: 10.3390/children8050323.
Infantile hemiparesis may be associated with significant morbidity and may have a profound impact on a child's physical and social development. Infantile hemiparesis is associated with motor dysfunction as well as additional neurologic impairments, including sensory loss, mental retardation, epilepsy, and vision, hearing, or speech impairments. The objective of this study was to analyze the association between the cause of infantile hemiparesis and birth (gestational age), age of diagnosis, and associated disorders present in children with infantile hemiparesis aged 0 to 3 years. An observational and cross-sectional study was performed. A simple and anonymous questionnaire was created ad hoc for parents of children diagnosed with infantile hemiparesis aged between 0 and 3 years about the situation regarding the diagnosis of hemiparesis, birth, cause of hemiparesis, and presence of other associated disorders. Perinatal stroke (60.1%) was the most common cause of hemiparesis, and the most typical associated disorder was epilepsy (34.2%), with the second largest percentage in this dimension corresponding to an absence of associated disorders (20.7%). The most frequent birth was "no premature" (74.1%). The mean age of diagnosis of infantile hemiparesis was registered at 8 months (IQR: 0-36). Knowing the possible association between different conditioning factors and the cause of infantile hemiparesis facilitates the prevention of severe sequelae in children and family, implementing an early comprehensive therapeutic approach in children with infantile hemiparesis.
小儿偏瘫可能伴有严重的发病率，并且可能对儿童的身体和社会发展产生深远影响。小儿偏瘫与运动功能障碍以及其他神经功能损害有关，包括感觉丧失、智力迟钝、癫痫以及视力、听力或言语障碍。本研究的目的是分析小儿偏瘫的病因与出生情况（胎龄）、诊断年龄以及0至3岁小儿偏瘫患儿中存在的相关疾病之间的关联。进行了一项观察性横断面研究。专门为0至3岁被诊断为小儿偏瘫的儿童的父母设计了一份简单且匿名的问卷，内容涉及偏瘫的诊断情况、出生情况、偏瘫病因以及其他相关疾病的存在情况。围产期卒中（60.1%）是偏瘫最常见的病因，最典型的相关疾病是癫痫（34.2%），在这方面占第二大比例的是无相关疾病（20.7%）。最常见的出生情况是“非早产”（74.1%）。小儿偏瘫的平均诊断年龄为8个月（四分位距：0 - 36）。了解不同影响因素与小儿偏瘫病因之间的可能关联，有助于预防儿童及其家庭出现严重后遗症，对小儿偏瘫患儿实施早期综合治疗方法。
