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ЕКМ 2019-4 SOD Новая Редколлегия.P65 2 Ç̲ÑÒ / CONTENT ÒÅÎÐÅÒÈ×ÍÀ ² ÅÊÑÏÅÐÈÌÅÍÒÀËÜÍÀ THEORETICAL AND EXPERIMENTAL ÌÅÄÈÖÈÍÀ MEDICINE Êðèëþê Â.Î., Ãàð³ÿí Ñ.Â. Âïëèâ Kryliuk V.O., Garian S.V. Influence is- ³øå쳿-ðåïåðôó糿 íà ìîðôîëîã³÷í³ çì³íè chemia-reperfusion on the morphological âåëèêèõ ñóãëîá³â íèæí³õ ê³íö³âîê çà óìîâ changes large joints of the lower extremities ïîºäíàíî¿ àáäîì³íî-ñêåëåòíî¿ òðàâìè 4 under combined abdomino-skeletal injury Ñîðîê³íà Î.Ã., Ïîïîâ Ì.Ì., Ëÿäîâà Ò.²., Sorokina O.G., Popov M.M., Liadova T.I., Îãí³âåíêî Î.Â., Ñàââî Î.Ì. Îñîáëèâîñò³ Ognivenko O.V., Savvo O.M. Features ïåðåá³ãó õðîí³÷íî¿ Åïøòåéíà–Áàðð â³ðóñíî¿ of the course of chronic Epstein–Barr viral ³íôåêö³¿ 9 infection ÏÑÈÕ²ÀÒвß, ÍÀÐÊÎËÎÃ²ß PSYCHIATRY, NARCOLOGY ÒÀ ÌÅÄÈ×ÍÀ ÏÑÈÕÎËÎÃ²ß AND MEDICAL PSYCHOLOGY Ãåðàñèìóê Â.À., Àã³øåâà Í.Ê. Ðîëü Gerasimuk V.A., Agisheva N.K. The role ³ ì³ñöå ñòðåñ-äîëàþ÷î¿ ïîâåä³íêè and place of stress-coping behavior â ôîðìóâàíí³ ïñèõîëîã³÷íî¿ äåçàäàïòàö³¿ in the formation of psychological maladap- ó äðóæèí, ÷îëîâ³êè ÿêèõ ñòðàæäàþòü tation in wives of patients with paranoid íà øèçîôðåí³þ 14 schizophrenia Êîñåíêî Ê.À. Ñòðóêòóðíî-ôåíîìåíî- Kosenko K.A. Structural-phenomenological ëîã³÷íà õàðàêòåðèñòèêà àãðåñèâíîñò³ characteristics of aggressiveness and hostile ³ âîðîæèõ ðåàêö³é ó êîìàíäíîãî ñêëàäó reactions in the command warehouse of the òîðãîâåëüíîãî ³ ïàñàæèðñüêîãî commercial and passenger navy ìîðñüêîãî ôëîò³â 25 Êðèâèöüêèé Â.Î. Ñòàí ïñèõîåìîö³éíî¿ Kryvytskyi V. The state of the psycho-emotio- ñôåðè ó õâîðèõ íà õðîí³÷íèé ïðîñòàòèò nal sphere in patients with chronic prostatitis ç ð³çíèì ñòàíîì ïîäðóæíüî¿ çàäîâîëåíîñò³ 33 with different status of marriage satisfaction Êðèâîí³ñ Ò.Ã. Àíàë³ç îñîáèñò³ñíî-ïîâå- Krivonis T.G. Personal and behavioral ä³íêîâèõ ïðîô³ë³â ó îíêîëîã³÷íèõ ïàö³ºí- profiles in cancer patients, depending ò³â çàëåæíî â³ä ¿õ êë³í³÷íèõ, ñ³ìåéíèõ on their clinical, family and gender features òà ãåíäåðíèõ îñîáëèâîñòåé 41 Ìàðóòà Í.Î., Øåâ÷åíêî–Á³òåíñü- Maruta N.O., Shevchenko–Bitensky K.V. êèé Ê.Â. Ïðîãðàìà ïñèõîñîö³àëüíî¿ Program of psychosocial rehabilitation ðåàá³ë³òàö³¿ ïàö³ºíò³â ç ãàëþöèíàòîðíî- of patients with hallucinatory-paranoid ïàðàíî¿äíèìè ðîçëàäàìè ïðè äåìåíö³ÿõ disorders in dementias of different genesis ð³çíîãî ãåíåçó ³ ñòà䳿 ðîçâèòêó ³ îö³íêà and stage of development and evaluation ¿¿ åôåêòèâíîñò³ 47 of its effectiveness Ìèñóëà Þ.². Ñó÷àñí³ ï³äõîäè äî ë³êóâàííÿ Mysula Yu.I. Modern approaches to the õâîðèõ ç ïåðâèííèì åï³çîäîì á³ïîëÿð- treatment of patients with a primary episode íîãî àôåêòèâíîãî ðîçëàäó 55 of bipolar affective disorder ÅÊÑÏÅÐÈÌÅÍÒÀËÜÍÀ ² Ê˲Ͳ×ÍÀ ÌÅÄÈÖÈÍÀ. 2019. ¹ 4 (85) 3 ²ÍÔÅÊÖ²ÉͲ ÕÂÎÐÎÁÈ INFECTIOUS DISEASES Áóê³é Ñ.Ì. Ãóìîðàëüíà ³ìóííà Bukiy S.M. Humoral immune response â³äïîâ³äü ä³òåé, õâîðèõ íà øèãåëüîç of children with shigellosis and infected òà ³íô³êîâàíèõ öèòîìåãàëîâ³ðóñîì 62 with cytomegalovirus ÍÅÂÐÎËÎÃ²ß NEUROLOGY Âàðåøíþê Î.Â., Â'þí Â.Â. Ïðîãíîñòè÷í³ Vareshniuk O.V., Vyun V.V. Prognostic êðèòå𳿠ðîçâèòêó ïîðóøåíü ìîòîðíèõ criteria for development of impaired motor ôóíêö³é ó íåäîíîøåíèõ íåìîâëÿò function in preterm infants with perinatal ç ïåðèíàòàëüíèì ã³ïîêñè÷íî-³øåì³÷íèì hypoxic-ischemic lesions of the central óðàæåííÿì öåíòðàëüíî¿ íåðâîâî¿ ñèñòåìè 67 nervous system ×åðíåíêî Ì.ª. Äî ïèòàííÿ ïðî íåîá- Chernenko M.E. To the question of the õ³äí³ñòü ðîçðîáêè êîìïëåêñíèõ ðåàá³ë³- need for the development of integrated òàö³éíèõ çàõîä³â ó ïàö³ºíò³â ç íåéðî- rehabilitation measures in patients with äåãåíåðàö³ºþ 72 neurodegeneration Õ²ÐÓÐÃ²ß SURGERY Ïóëÿºâà ².Ñ., Ïðàñîë Â.Î. Ðèçèêè ïîâ- Pulyaeva ².S., Prasol V.O. The riscs òîðíèõ ³íñóëüò³â ³ ðåïåðôóç³éíîãî of repeated strokes and reperfusion ñèíäðîìó ó õâîðèõ ç êðèòè÷íèì ñòåíîçîì syndrome in patients with severe stenosis ñîííèõ àðòåð³é 78 of carotid arteries ×åðêàøåíèíîâ Å.Ã., Êàëìûêîâà À.Ñ. Cherkasheninov E.G., Kalmykova A.S. The Ðåçóëüòàòû ïðèìåíåíèÿ ìàëîèíâàçèâíûõ results of the application of low-invasive ìåòîäîâ ëå÷åíèÿ âàðèêîçíîé áîëåçíè 83 methods for treatment of varicose disease ÑÒÎÌÀÒÎËÎÃ²ß STOMATOLOGY Àñòàïåíêî Î.Î., Êîñòþê Ò.Ì., Astapenko O., Kostiuk T., Lytovchenko N., Ëèòîâ÷åíêî Í.Ì., Òÿæêîðîá Ò.Â. Äîñâ³ä Tyazhkorob T. The application of construc- âèêîðèñòàííÿ ðåçîðáòèâíèõ ìàòåð³àë³â tions made from biodegradable material ó ðåêîíñòðóêòèâíî-â³äíîâí³é õ³ðóð㳿 with bioactive action in reconstructive 88 surgery of maxillofacial area Òåðåõîâ Ñ.Ñ., Õðîë Í.Ñ. Ñèñòåìà öèôðî- Terekhov S.S., Khrol N.S. Digital volume âîãî îá'ºìíîãî ñêàíóâàííÿ äëÿ ï³äâèùåííÿ scanning system for improving the quality ÿêîñò³ ðåòðàêö³¿ ÿñåííîãî êðàþ 96 of garden retraction ÅÊÑÏÅÐÈÌÅÍÒÀËÜÍÀ ² Ê˲Ͳ×ÍÀ ÌÅÄÈÖÈÍÀ. 2019. ¹ 4 (85) 4 ÒÅÎÐÅÒÈ×ÍÀ ² ÅÊÑÏÅÐÈÌÅÍÒÀËÜÍÀ ÌÅÄÈÖÈÍÀ ТЕОРЕТИЧНА І ЕКСПЕРИМЕНТАЛЬНА МЕДИЦИНА https://doi.org/10.35339/ekm.2019.85.04.01 ÓÄÊ 616.3/.71-001-005.1-06:616.137-005.4-007.271-06:611-018.4 Â.Î. Êðèëþê1, Ñ.Â. Ãàð³ÿí2 1ÄÇ «Óêðà¿íñüêèé íàóêîâî-ïðàêòè÷íèé öåíòð åêñòðåíî¿ ìåäè÷íî¿ äîïîìîãè òà ìåäèöèíè êàòàñòðîô ÌÎÇ Óêðà¿íè», ì. Êè¿â 2ÊÇ ÒÎÐ «Òåðíîï³ëüñüêà óí³âåðñèòåòñüêà ë³êàðíÿ» ÂÏËÈ ²ØÅ̲¯-ÐÅÏÅÐÔÓDz¯ ÍÀ ÌÎÐÔÎËÎò×Ͳ Ç̲ÍÈ ÂÅËÈÊÈÕ ÑÓÃËÎÁ²Â ÍÈÆÍ²Õ Ê²ÍÖ²ÂÎÊ ÇÀ ÓÌΠÏΪÄÍÀÍί ÀÁÄÎ̲ÍÎ-ÑÊÅËÅÒÍί ÒÐÀÂÌÈ Âèâ÷åíî îñîáëèâîñò³ ìîðôîëîã³÷íèõ ïîðóøåíü òêàíèí âåëèêèõ ñóãëîá³â íèæí³õ ê³íö³âîê â óìîâàõ ìîäåëüîâàíèõ òðàâì ó ï³çí³ òåðì³íè. Åêñïåðèìåíò ïðîâîäèëè íà 40 ñòàòåâî- çð³ëèõ á³ëèõ ùóðàõ-ñàìöÿõ ë³í³¿ Wistar, ìàñîþ 190–220 ã, ÿê³ çíàõîäèëèñü íà ñòàíäàðò- íîìó ðàö³îí³ â³âàð³þ. ϳääîñë³äíèì òâàðèíàì ìîäåëþâàëè çàêðèòó òðàâìó îðãàí³â ÷å- ðåâíî¿ ïîðîæíèíè, ñêåëåòíó òðàâìó, ìàñèâíó çîâí³øíþ êðîâîâòðàòó òà ³øåì³þ-ðåïåð- ôóç³þ íèæí³õ ê³íö³âîê. Äîñë³äæåííÿ ïðîâîäèëè íà 21-øó äîáó ï³ñëÿ ìîäåëþâàííÿ òðàâì. Óñ³ åêñïåðèìåíòè ç íàíåñåííÿ òðàâì âèêîíóâàëè â óìîâàõ ò³îïåíòàë-íàòð³ºâîãî çíå÷ó- ëåííÿ (40 ìã·êã-1 ìàñè). Âñòàíîâèëè, ùî ïîºäíàíà àáäîì³íî-ñêåëåòíà òðàâìà ó ïîºäíàíí³ ç ³øå쳺þ-ðåïåðôó糺þ íèæí³õ ê³íö³âîê â ï³çí³õ ïåð³îäàõ ï³ñëÿ òðàâìàòè÷íîãî ïåð³îäó ìîæå âèêëèêàòè ðåàêòèâí³ çì³íè ó âåëèêèõ ñóãëîáàõ íèæí³õ ê³íö³âîê. Êëþ÷îâ³ ñëîâà: ïîºäíàíà òðàâìà, ³øåì³ÿ-ðåïåðôóç³ÿ, åêñïåðèìåíò, êîë³ííèé ñóãëîá, êóëüøîâèé ñóãëîá. Âñòóï ñòåìíî¿ çàïàëüíî¿ ðåàêö³¿ íà ðîçâèòîê ï³ñëÿ- Ïîºäíàíà òðàâìà çàëèøàºòüñÿ îñíîâíîþ òðàâìàòè÷íîãî îñòåîàðòðèòó [5, 6]. Îäíàê ö³ ïðè÷èíîþ ëåòàëüíèõ íàñë³äê³â òà òðàâìàòèçìó äîñë³äæåííÿ â îñíîâíîìó ñòîñóþòüñÿ ëîêàëü- ñåðåä îñ³á ïðàöåçäàòíîãî â³êó. Ïðîãíîçóºòü- íèõ òðàâì. ñÿ, ùî ê³ëüê³ñòü òðàâìîâàíèõ îñ³á áóäå çðîñ- Îñíîâîþ óðàæåííÿ ñóãëîá³â âíàñë³äîê òàòè ïðîòÿãîì íàñòóïíèõ 20 ðîê³â [1]. òðàâìàòè÷íèõ ïîøêîäæåíü º çì³íè â õðÿùîâ³é Ïðîâåäåí³ êë³í³÷í³ òà åêñïåðèìåíòàëüí³ òêàíèí³. Ïàòîô³ç³îëîã³ÿ ïðîöåñó ïîëÿãຠó äå- äîñë³äæåííÿ ïîêàçàëè, ùî ïîºäíàíà òðàâìà ãåíåðàö³¿ òà çàãèáåë³ êë³òèí õðÿùà, ðîçâèâàºòü- ïîâ'ÿçàíà ç³ çíà÷íî á³ëüøèì ÷àñîì çàãîºííÿ ñÿ äåïîë³ìåðèçàö³ÿ îñíîâíî¿ ðå÷îâèíè ÿêà âè- ïåðåëîì³â òà á³ëüøîþ ÷àñòîòîþ ðîçâèòêó ðîáëÿºòüñÿ õîíäðîöèòàìè, çíèæóºòüñÿ ê³ëü- óñêëàäíåíü ó ïîð³âíÿíí³ ç ³çîëüîâàíèìè ïåðå- ê³ñòü ãë³êîçàì³íãë³êàí³â, ùî ïðèçâîäèòü äî ïðî- ëîìàìè. Êð³ì òîãî, âèçíà÷åíî, ùî ëîêàëüíà ãðåñèâíî¿ äåãåíåðàö³¿ õðÿùà. Ñïîñòåð³ãàºòü- òà ñèñòåìíà çàïàëüíà ðåàêö³ÿ çíà÷íî âïëèâຠñÿ ðîçðîñòàííÿ ê³ñòêîâî¿ òêàíèíè òà óòâîðåí- íà ïðîöåñè â³äíîâëåííÿ çàãîºííÿ ïåðåëîì³â íÿ îñòåîô³ò³â.  ïàòîëîã³÷íèé ïðîöåñ âòÿãó- [2–4]. þòüñÿ ñèíîâ³àëüíà îáîëîíêà, ô³áðîçíà êàïñó- Îäíèì ³ç íàéá³ëüø ðîçïîâñþäæåíèõ óñê- ëà òà íàâêîëîñóãëîáîâ³ ì'ÿçè. Çã³äíî ç³ ñòàòè- ëàäíåíü ³ ïðè÷èíîþ ³íâàë³äíîñò³, ÷àñòîòà ÿêî¿ ñòè÷íèìè äàíèìè çà ÷àñòîòîþ óðàæåííÿ ïåð- ïîñò³éíî çðîñòàº, º îñòåîàðòðîç. Òðàâìà, çîê- øå ì³ñöå ïîñ³äຠêóëüøîâèé ñóãëîá, äðóãå – ðåìà ñóãëîá³â, º âàæëèâèì ôàêòîðîì ðèçèêó êîë³ííèé, òðåòº – ïëå÷îâèé [7, 8]. ïîñòòðàâìàòè÷íîãî îñòåîàðòðèòó. Íàðàç³ íàó- Ìåòà ðîáîòè – äîñë³äèòè îñîáëèâîñò³ êîâöÿìè ÷³òêî äîâåäåíî íåãàòèâíèé âïëèâ ñè- ìîðôîëîã³÷íèõ ïîðóøåíü òêàíèí âåëèêèõ ñóã- © Â.Î. Êðèëþê, Ñ.Â. Ãàð³ÿí, 2019 ÅÊÑÏÅÐÈÌÅÍÒÀËÜÍÀ ² Ê˲Ͳ×ÍÀ ÌÅÄÈÖÈÍÀ. 2019. ¹ 4 (85) ÒÅÎÐÅÒÈ×ÍÀ ² ÅÊÑÏÅÐÈÌÅÍÒÀËÜÍÀ ÌÅÄÈÖÈÍÀ 5 ëîá³â íèæí³õ ê³íö³âîê â óìîâàõ ìîäåëüîâàíèõ «SWAT®» ( âèðîáíèöòâî ÑØÀ). Ïîïåðåäíüî òðàâì â ï³çí³ òåðì³íè. ïåðåä íàêëàäàííÿì ç îðèã³íàëüíîãî ïîëîòíà Ìàòåð³àë ³ ìåòîäè êðîâîñïèííîãî äæãóòà âèð³çàëè øìàòîê øè- Ðîáî÷îþ ã³ïîòåçîþ åêñïåðèìåíòàëüíîãî ðèíîþ 1,5 ñì òà äîâæèíîþ 10 ñì. Äîñòàòíº äîñë³äæåííÿ º ïðèïóùåííÿ, ùî âèêîðèñòàííÿ ðîçòÿãíåííÿ äæãóòà, äëÿ ïîâíîãî ïåðåòèñêàí- êðîâîñïèííîãî äæãóòà òà ïîäàëüøà ðåïåðôó- íÿ ñóäèí íèæíüî¿ ëàïè òâàðèí, êîíòðîëþâàëè ç³ÿ ³øåì³çîâàíèõ òêàíèí ïðèçâîäèòü äî çíà÷- çà äîïîìîãîþ ñïåö³àëüíèõ ³íäèêàòîð³â, ùî íèõ ñèñòåìíèõ çì³í ³ç ïîäàëüøèì ïîðóøåí- íàíåñåí³ âèðîáíèêîì íà éîãî ïîâåðõíþ. íÿì ôóíêö³îíóâàííÿ âåëèêèõ ñóãëîá³â ó ï³çíüî- Òâàðèí âèâîäèëè ç åêñïåðèìåíòó íà 3, 7, ìó ï³ñëÿòðàâìàòè÷íîìó ïåð³îä³ ïðè ïîºäíàí³é 14 òà 21-øó äîáó ï³ñëÿ ìîäåëþâàííÿ òðàâì. àáäîì³íî-ñêåëåòí³é òðàâì³ íà ôîí³ ã³ïîâîëå- ϳä ò³îïåíòàë-íàòð³ºâèì çíå÷óëåííÿì ïðîâî- ì³÷íîãî øîêó. äèëè çàá³é óñ³õ ùóð³â â³äïîâ³äíî¿ ãðóïè ìåòî- Åêñïåðèìåíòàëüíå äîñë³äæåííÿ âèêîíàíî äîì òîòàëüíîãî êðîâîïóñêàííÿ ç ñåðöÿ. óñòî- íà 40 ñòàòåâîçð³ëèõ á³ëèõ ùóðàõ-ñàìöÿõ ë³í³¿ ëîã³÷í³ çì³íè â òêàíèíàõ êóëüøîâîãî òà êîë³í- Wistar, ìàñîþ 190–220 ã, ÿê³ çíàõîäèëèñü íà íîãî ñóãëîá³â âèâ÷àëè íà 21-øó äîáó ï³ñëÿ- ñòàíäàðòíîìó ðàö³îí³ â³âàð³þ. Óñ³ åêñïåðèìåí- òðàâìàòè÷íîãî ïåð³îäó. Äëÿ ã³ñòîëîã³÷íèõ äî- òè ³ç íàíåñåííÿ òðàâì âèêîíóâàëè â óìîâàõ ò³î- ñë³äæåíü çàáèðàëè òêàíèíí³ çðàçêè êóëüøîâîãî ïåíòàë-íàòð³ºâîãî çíå÷óëåííÿ (40 ìã·êã-1 ìàñè).
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    Monday 16 August 2021 Cerebral Palsy Alliance is delighted to bring you this free weekly bulletin of the latest published research into cerebral palsy. Our organisation is committed to supporting cerebral palsy research worldwide - through information, education, collaboration and funding. Find out more at cerebralpalsy.org.au/our-research Professor Nadia Badawi AM CP Alliance Chair of Cerebral Palsy Research Subscribe to CP Research News Interventions and Management 1. Combined Selective Dorsal Rhizotomy and Single-Event Multilevel Surgery in a Child with Spastic Diplegic Cerebral Palsy: A Case Report Kayli Gimarc, Suzanne Yandow, Samuel Browd, Connie Leibow, Kelly Pham Case Reports Pediatr Neurosurg. 2021 Aug 12;1-6. doi: 10.1159/000517756. Online ahead of print. Introduction: Children with spastic diplegic cerebral palsy (CP) often have functional and gait impairments related to spasticity and loss of range of motion (ROM). Selective dorsal rhizotomy (SDR) and single-event multilevel surgery (SEMLS) are surgical interventions that are used to manage spasticity and functional gait impairments, respectively. This is the first known case report of a child with spastic diplegic CP who underwent combined SDR and SEMLS. Case report: Our patient is a 7-year-old girl with spastic diplegic CP, functioning at the Gross Motor Function Classification System (GMFCS) level II, who presented with spasticity and contractures in bilateral lower extremities leading to functional gait impairments, despite conservative management. Combined SDR/SEMLS was offered with the goal of simultaneously managing spasticity and contractures while reducing the need for multiple procedures. Postoperatively, the patient's functional mobility, ROM, spasticity, and strength were assessed at various follow-up intervals.
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    Skip to main content ×Close Menu We use cookies to improve your experience on our website. By closing this banner or interacting with our site, you acknowledge and agree to this. Legal Notices MobileClose Menu Find A Doctor Your Visit Pay a Bill Log in to MyGillette Learn more about MyGillette Patient Education Patient Services and Resources Your Rights and Medical Records Understanding Costs, Insurance and the Gillette Assistance Programs Services to Support Your Family Interpreter Services International Patients Parent Resources and Support Prepare for Your Visit Prepare for Clinic Visits and Tests Prepare for Surgery Take a Hospital Tour Transfer Your Medical Records Transportation and Accommodations Ways to Prepare and Comfort Your Child During Your Visit or Hospital Stay Commitment to a Safe and Healing Environment Our Hospital Units Your Hospital Room St. Paul Campus Amenities and Activities Visit or Contact a Patient Conditions & Care All Conditions Cerebral Palsy Neuromuscular Disorders Scoliosis Craniosynostosis Brain Injury All Tests & Treatments Shunt Surgery for Hydrocephalus Gait and Motion Analysis Selective Dorsal Rhizotomy (SDR) Gillette Craniocap© Orthosis Botulinum Toxin and Phenol (Injected Spasticity Medications) All Specialties & Services Orthopedics Rehabilitation Services Craniofacial and Plastic Surgery Neurology Neurosurgery Virtual Visits Pediatric Expert Consults Virtual Rehab Therapy Sleep Medicine Virtual Care Get Involved Advocating for Your Family Community Health United Cerebral Palsy of MN Donors & Supporters
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  • Magnetic Resonance Imaging Findings in Cerebral Palsy
    J. Paediatr. Child Health (2000) 36, 139–144 Magnetic resonance imaging findings in cerebral palsy R YIN,1 DS REDDIHOUGH,2 MR DITCHFIELD3 and KJ COLLINS4 1,2,4Department of Child Development and Rehabilitation, 3Department of Medical Imaging, Royal Children’s Hospital, Melbourne, Australia. Objective: To review all cases of cerebral palsy (CP) that had magnetic resonance imaging (MRI) over a defined period of time. Methodology: The MRI brain scans of 42 children (12 premature, 30 full-term) with CP were studied. The scans were performed at the Royal Children’s Hospital, Melbourne, between January 1995 and June 1996. Results: Abnormalities were found in 39 of the 42 scans. Five children had cortical malformations and three children had white matter hypoplasia, indicating insults during the second trimester of pregnancy. Twenty-one children had hypoxic–ischaemic lesions (eight premature, 13 full-term) with patterns of periventricular leucomalacia, subcortical lesions or cortical infarction indicating insults perinatally or in the third trimester. Only 10 children had scans that could not be categorized into these groups. Conclusions: In this study sample of children with CP, MRI was useful in revealing underlying brain abnormalities, most of which were due to events in the third trimester or the perinatal period. Key words: cerebral palsy; magnetic resonance imaging brain scan. There have been radical changes in our understanding of the There have been a number of reports of MRI studies in aetiology of cerebral palsy (CP) over the past decade. In 1863, patients with CP. Truwit et al. studied 40 cases and found that CP Little reported that spastic CP was caused by abnormal circum- in 29 term infants was often the result of prenatal factors, and less stances at birth.1 From that time it was widely accepted that commonly related to the perinatal period.7 Steinlin et al.
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  • Journal of Child Neurology
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