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脑性瘫痪的自然缓解

Spontaneous remission of cerebral palsy.

作者信息

Taudorf K, Hansen F J, Melchior J C, Pedersen H

出版信息

Neuropediatrics. 1986 Feb;17(1):19-22. doi: 10.1055/s-2008-1052493.

DOI:10.1055/s-2008-1052493
PMID:3960279
Abstract

Among 2100 children with a diagnosis of cerebral palsy (CP) twenty carried the diagnosis: Previous CP, now normalized. Seventeen patients could be traced and were reevaluated. Cerebral palsy was diagnosed in these seventeen children (ten boys, seven girls) between the ages of three months and three years (average eleven months). They were found to be normal when reexamined between the ages of one year and five years (average two years two months). Two patients had tetraplegia, three diplegia, nine paraplegia ("paraplegia" were cases of diplegia with minimal affection of the upper limbs - now called "diplegia type I"), and one hemiplegia. One patient had atactic diplegia, and one was athetotic. The records of these seventeen patients were evaluated with respect to aetiology and symptomatology. Upon reexamination seven patients were found to be completely normal. Five patients had no motor symptoms but showed signs of specific neuropsychological difficulties. Two patients were intellectually retarded without motor symptoms. One showed signs of neuropathy, and one had fetal alcohol syndrome. Signs consistent with CP could be demonstrated in one patient only. This study shows that signs of CP may in rare cases disappear altogether.

摘要

在2100名被诊断为脑瘫(CP)的儿童中,有20名曾被诊断为脑瘫但现已恢复正常。其中17名患者能够被追踪到并接受了重新评估。这17名儿童(10名男孩,7名女孩)在3个月至3岁之间(平均11个月)被诊断为脑瘫。在1岁至5岁之间(平均2岁2个月)重新检查时,他们被发现一切正常。其中2名患者为四肢瘫,3名双侧瘫,9名截瘫(“截瘫”为双侧瘫且上肢受累轻微的病例,现称为“Ⅰ型双侧瘫”),1名偏瘫。1名患者为共济失调型双侧瘫,1名患者为手足徐动型。对这17名患者的病历进行了病因和症状学方面的评估。重新检查时发现7名患者完全正常。5名患者没有运动症状,但表现出特定的神经心理困难迹象。2名患者智力发育迟缓但无运动症状。1名患者有神经病变迹象,1名患者患有胎儿酒精综合征。仅1名患者仍有与脑瘫相符的体征。这项研究表明,脑瘫体征在极少数情况下可能会完全消失。

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Nonoperative management of spasticity in children.儿童痉挛的非手术治疗
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