[症例報告]先天性片麻痺児4例の頭部MRI像による検討

概要

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We examined twenty-two children with hemiplegic cerebral palsy, of which twelve cases (54.5%) were diagnosed as congenital hemiplegia. We performed cranial magnetic resonance imaging (MRI) in four patients with congenital hemiplegia in order to analyze the causes of their hemiplegia. One case was suspected to have encephaloclastic porencephaly which occured dunng the second trimester. In another case, MRI demonstrated focal pachygyna in the left frontal lobe, which was thought to represent an insult during the first trimester. In the other two cases, MRI demonstrated hemiventricular dilation contralateral to their hemiplegia, which was believed to represent an insult from subependymal germinal matrix hemorrhage at 28 to 35 week gestational age. In conculsion, MRI provides important information which helps to evaluate the etiology of children with congenital hemiplegia.
琉球医学会,Ryukyu Medical Associationの論文