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低张型脑瘫的随访研究。

Follow-up study of hypotonic forms of cerebral palsy.

作者信息

Lesný I A

出版信息

Brain Dev. 1979;1(2):87-90. doi: 10.1016/s0387-7604(79)80015-7.

DOI:10.1016/s0387-7604(79)80015-7
PMID:552215
Abstract

In order to ascertain what can develop from cerebral infantile hypotonia, 98 infants suffering from hypotonic forms of cerebral palsy were reexamined after one year and some of them again after another year. It was presumed that hypotonia in infants with so-called hypotonic cerebral palsy is a sign which changes with time. In the ages between 2-4 years 50.2% of the hypotonias decreased and new syndromes appeared. In the ages up to 4-6 years, there was a decrease in 85.7% of hypotonias. The new syndromes were cerebellar in 56 cases, mental defectivity with developmental disintegration in 31 cases, and there were 26 without any cerebral symptomatology. Apart from these two main semeiological groups, there were spastic and dyskinetie syndromes, mostly combined with the cerebellar or mental group, and minor brain, mostly cerebellar, disturbances which developed out of infantile central hypotonias.

摘要

为了确定小儿脑性低张力会发展成什么情况,对98例患有低张力型脑瘫的婴儿进行了为期一年的复查,其中一些婴儿在一年后又再次接受复查。据推测,所谓的低张力型脑瘫婴儿的低张力是一种随时间变化的体征。在2至4岁年龄段,50.2%的低张力情况有所减轻,并且出现了新的综合征。在4至6岁年龄段,85.7%的低张力情况有所减轻。新出现的综合征中,56例为小脑型,31例为伴有发育解体的智力缺陷型,还有26例没有任何脑部症状。除了这两个主要的症状学组外,还有痉挛型和运动障碍型综合征,大多与小脑型或智力型组合并出现,以及由婴儿期中枢性低张力发展而来的轻度脑部,主要是小脑的功能障碍。

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