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At least 19 recordsLinked to original sources
PubMed1989

[Physiopathology of ocular movements in infantile cerebral paralysis].

Cerebral palsy is a permanent and non-progressive brain damage due to various causes affecting a child from the intrauterine life up to the first two years of life. Its most common cause is neonatal hypoxic encephalopathy. The cerebral damage is diffuse so that it is commonly associated with epilepsy, mental retardation, dysarthria, hearing loss and oculomotor abnormalities. Strabismus is found in 50% of children with cerebral palsy. This prevalence is significantly different from the 2% incidence of oculomotor abnormalities in the pre-school age, it is noteworthy that strabismus and refractive errors respond to the classical therapeutic measures.

Cerebral Palsy↗
PubMed1999

[Adaptive-compensatory changes of autonomic balance in children with infantile cerebral paralysis].

In children of 6-7 years old with infantile cerebral paralysis the heart muscle mobilization is observed that displays in heart rate acceleration, decrease of its variability and some diminuation of adaptive reserves of cardiovascular system. As a result of such adaptation strain the adequate maintenance of the principal hemodynamic parameter (average arterial pressure) is ensured.

Adaptation, Physiological↗
PubMed1980

Transposition of the pronator radio teres muscle to the radial extensors of the wrist, in infantile cerebral paralysis. An improved operative technique.

In the majority of cases of infantile cerebral paralysis, the upper limb is found to be in an attitude of pronation of the forearm, flexion and adduction of the wrist, and flexion of the fingers. The modified surgical technique practiced by the writers enables the pronation of the forearm and the flexion of the wrist to be corrected at the same time, by transposing the pronator teres muscle to the radial extensors of the wrist after passing it around the radius through the interosseous membrane, thus giving it a supinating action.

Adolescent↗
PubMedDate not supplied

[Preliminary results of treatment for spastic forms of infantile cerebral paralysis by chronic epidural neurostimulation of lumbar enlargement].

Six patients with infantile cerebral paralysis following drug-resistant spastic syndrome were operated on. Four children suffered from lower spastic paraparesis; 2 had spastic tetraparesis. All the children were observed to have leg chiasm and myogenic equinus talipes. Electrodes were implanted under X-ray guidance into the posterior epidural cavity of the spinal cord at the level of Th10-Th12 vertebrae and the MATTRIX system. In the postoperative period, all the children had a steady-state decrease in leg and arm muscle tone during 1-2 daily high-frequency electrostimulation sessions. Within the early week, there was a regression of equinus talipes and leg chiasm. A follow-up indicated a steady-state clinical effect in all the patients. Stimulation myography revealed that the H reflex was suppressed and the H/M ratio decreased to the normal level (60-80%) in all the patients. An average of one daily electrostimulation session was sufficient to maintain muscle tone at the near-normal level.

Adolescent↗
PubMedDate not supplied

[An analysis of the gait in patients with different type of infantile cerebral paralysis].

The issue related with impaired temporal movements as observed in patients with infantile cerebral paralysis (ICP) during walking still needs more research since it is a vital problem. The authors analyzed the temporal parameters of the step and of the phase of the key goniography spots within the stretch of the step cycle. The results are indicative of a presence of specific gait temporal indices typical of all ICP variations; they also reveal such indices typical of a certain disease type. The use of biochemical investigations of temporal parameters of the step and movements in legs' joints makes it possible to verify the available motor impairments and to carry out the differential diagnosis of different-type ICP.

Case-Control Studies↗
PubMedDate not supplied

[Use of computer-assisted stabilography and the method of computer-assisted biomechanical study of gait in the diagnosis of posture and motor disorders in patients with different forms of infantile cerebral paralysis].

The paper presents and analyzes the results of assessment of vertical stability and walk in patients with infantile cerebral paralysis before and after dynamic proprioceptive correction, which is of great importance for differential diagnosis of different forms of this disease, for controlling the course of therapeutical measures, for working out criteria for the efficiency of treatment.

Adolescent↗
PubMed1978

[Focal EEG pathology in young children with infantile cerebral paralysis and an epileptiform syndrome].

A polygraphic study of 63 children of the 1st and 2nd year of age with child cerebral paralysis and a convulsive syndrome in 17 detected focal changes of the EEG, mainly in the central and parietal areas. The detection of the focus in many cases depended upon the phase and stage of sleep and could correspond to certain states (mainly--slow sleep, sometimes to rapid sleep, sometimes--intermediary stage). The mechanisms of these phenomena are discussed.

Brain↗
PubMed1993

[Equinus valgus deformity of the foot in children with infantile cerebral paralysis and its surgical correction].

The authors explain the mechanism of pes equino-planus-valgus formation in patients with infantile cerebral paralysis (ICP) and describe in detail the clinico-radiological characteristics of such patients. The authors possess experience in the treatment of 31 patients who were operated on by a method suggested by A. M. Zhuravlev--osteomyoplasty of the root of the foot. The method removes all the components of the deformity and creates conditions preventing its recurrence. Study of the late-term results in postoperative follow-up periods of 6 months to 2 years shows the method to be much less injurious and more effective than the other methods of treatment and allow it to be recommended for application in specialized medical establishments for patients with ICP.

Adolescent↗
PubMedDate not supplied

[Combined regional anesthesia of the lower extremities in children with cerebral paralysis].

The authors share their first experience of combined regional anesthesia during surgical interventions into the lower extremities in children with infantile cerebral paralysis (ICP). A hundred and twenty-five blocks were performed in patients aged 5 to 20 years. Lidocaine, marcaine, naropine, or a mixture of lidocaine and marcaine mixture, were used. The paper describes the specific features of techniques for femoral-sciatic nerve blocks in these patients, shows the adequacy of anesthesia at surgery and the very good course of the postoperative period due to continuous analgesia and the alleviation of muscle spasticity in the operated limb.

Adolescent↗
PubMed1997

[West's syndrome in patients with cerebral paralysis and periventricular leukomalacia: a good response to treatment].

OBJECTIVE: To evaluate the therapeutic response of West's syndrome (WS) associated with cerebral paralysis (CP) secondary to periventricular leucomalacia (PVL). MATERIAL AND METHODS: We made a retrospective analysis of the clinical histories of 10 patients with SW and CP secondary to periventricular leucomalacia. We studied 10 patients, 9 boys and 1 girl with a current age of between 3 and 11 years, 8 premature newborn babies and two full term new born babies. RESULTS: The infantile spasms (IS) started between the ages of 4-10 months (average age 8.3 months). In 100% of cases they came in runs. In one patient alone they were associated with partial motor crises. EEG showed typical hypsarrhythmia in 8 cases, asymmetrical hypsarrhythmia in 1 case and modified hypsarrhythmia in another case. Seven patients were given ACTH, associated with valproic acid in 4 cases and benzodiazepines in 2 cases. The remaining 3 patients were treated with valproate as the only drug. The IS disappeared and the EEG became normal within 14 days of the start of treatment in 9 patients who remain symptom-free after between 2 and 11.9 years follow-up. In one patient there was partial control of the spasms, and the clinical picture cleared up 10 months after starting treatment with vigabatrine. All 10 patients had spastic quadriplegia. All had mental retardation of between slight and serious degree. The cerebral CT and MR showed signs compatible with PVL and in 3 cases there was associated diffuse cerebral atrophy. CONCLUSIONS: We have found a good electro-clinical response in 10 patients with WS, CP and PVL. The results are in agreement with those of other authors.

Anticonvulsants↗
PubMed1996

[The significance of visual analyzer in controlling the standing posture in individuals with the spastic form of child cerebral paralysis while wearing "Adel" suit].

The paper discussed the results of stabilographic examination of the children suffered from the spastic form of child cerebral paralysis (CCP) treated by means of graded wearing of "Adel" suit which is a modification of the "Penguin" spacesuit. There has been studied the state of 30 children before treatment with the use of "Adel" suit and after the treatment as well as following the several courses of wearing the suit. Besides the patients, eleven healthy volunteer subjects (control group) were examined. There have been obtained the results pointing to the fact that in the healthy persons when they try to achieve the standing posture the leading role pertains to visual analyzer, at the same time, in the patients with spastic form of CCP the realization of standing posture depends upon the severity of the motor function disorders. When in the process of control stabilographic examination the patients suffered from spastic form of CCP demonstrate the significant role of the visual analyzer in achieving the standing posture, the use of the "Adel" suit is most desirable. The use of the "Adel" suit in the CCP patients with a decreased role of visual analyzer in achieving the standing pose as it was found under control examination enhances its significance in controlling the position of the center of gravity of the body.

Cerebral Palsy↗
PubMed1978

[Personality formation in younger school age children afflicted with cerebral paralysis].

Attempts were made to study the pathogenetical significance of the feeling of inferiority and the psychogenic syndrome, appearing in early school children (60 cases) with cerebral paralysis. Psychogenic reactions, appearing on an organically changed ground are formed in 2 directions: some children are characterized by neurotic reactions in combination with passive-defensive (astheno-phobic, astheno-depressive, etc.); other children react by agressive-defensive forms of behaviour (pathopersonality reactions--opposition, etc.).

Aggression↗
PubMed1998

[The influence of the LK-92 "Adeli" treatment loading suit on electro-neuro-myographic characteristics in patients with infantile cerebral paralysis].

Treatment-loading costume (LK-92 "Adely") was investigated in terms of its influence on functional state of neuromotor apparatus in 25 children with infantile cerebral paralysis in the form of spastic diplegia. Improvement of motor functions observed may be conditioned by a decrease of an amplitude of bioelectric activity in spastic muscles at physiologic rest and by an increase of an amplitude of agonists' biopotentials at arbitrary movements. Improvement of motor functions may be also caused by normalization of both the coefficients characterizing coordinated muscules' interactions and functional state of spinal motoneurons as well as of the mechanisms of their suprasegmental regulation. It is suggested that such effect may be, realized because of the afferentation normalization as well as by means of the influence of LK-92 "Adely" on both central and segmentary structures of motor analyzer including neuromediator systems.

Adolescent↗