Changing Motor Pattern in Cerebral Palsy

スポンサーリンク

概要

• 論文の詳細を見る

• A long term follow-up study of patients with cerebral palsy has been done in the following manners: (1) 164 cases have been studied prospectively, (2) 78 cases retrospectively, (3) 42 cases longitudinally with periodic examinations.<BR>1) Spastic type was most common (62.8%) during infancy. While it decreased to 28.7%, athetotic and dystonic (dyskinetic) types became most common during school age.<BR>2) Pure rigidity and hypotonic types were not observed beyond the age of 5.<BR>3) Marked modification of the original type such as spastic, rigidity, hypotonic or unclassified type was often noted. During school age this modification advanced toward either spastic or dyskinetic type, no matter what type the patient originally started with. A spontaneous improvement of motor function has been observed in a few cases.<BR>4) Once a patient showed dyskinesis wheather as his original type or as a type modified from the other, further modification was rare and very little clinical improvement was observed thereafter.<BR>5) Modification occured most often in the symptoms related to extrapyramidal system.<BR>6) Dyskinesia usually appeared after the first year of life but the youngest we have observed was 7 months of age. The latest observed was 6 years 3 months of age.<BR>7) It is very interesting to view these modification patterns in relation to the chronological development of the central nervous system. We believe that our observation is useful for prognosticating the patients with cerebral palsy and planning a practical treatment most suitable to each individual.

• 一般社団法人 日本小児神経学会の論文

一般社団法人 日本小児神経学会 | 論文

• Levetiracetamが著効したSTXBP1遺伝子変異による大田原症候群の1例
• Cyclophosphamideが著効した抗NMDA受容体抗体脳炎の8歳男児例
• 重症心身障害医療からみた小児脳死に関する私見
• 幼児期発症の難治な多発性硬化症に対しcyclophosphamideパルス療法が有効であった1例
• Duchenne型筋ジストロフィー児への病気の説明に関する調査

もっと見る

スポンサーリンク