Morphological and morphometric features of the brain in children with cerebral palsy complicated by epilepsy

2016 ◽  
pp. 51-54
Author(s):  
M. A. Artykova
2018 ◽  
Vol 119 (3) ◽  
pp. 1153-1165 ◽  
Author(s):  
Germana Cappellini ◽  
Francesca Sylos-Labini ◽  
Michael J. MacLellan ◽  
Annalisa Sacco ◽  
Daniela Morelli ◽  
...  

To investigate how early injuries to developing motor regions of the brain affect different forms of gait, we compared the spatiotemporal locomotor patterns during forward (FW) and backward (BW) walking in children with cerebral palsy (CP). Bilateral gait kinematics and EMG activity of 11 pairs of leg muscles were recorded in 14 children with CP (9 diplegic, 5 hemiplegic; 3.0–11.1 yr) and 14 typically developing (TD) children (3.3–11.8 yr). During BW, children with CP showed a significant increase of gait asymmetry in foot trajectory characteristics and limb intersegmental coordination. Furthermore, gait asymmetries, which were not evident during FW in diplegic children, became evident during BW. Factorization of the EMG signals revealed a comparable structure of the motor output during FW and BW in all groups of children, but we found differences in the basic temporal activation patterns. Overall, the results are consistent with the idea that both forms of gait share pattern generation control circuits providing similar (though reversed) kinematic patterns. However, BW requires different muscle activation timings associated with muscle modules, highlighting subtle gait asymmetries in diplegic children, and thus provides a more comprehensive assessment of gait pathology in children with CP. The findings suggest that spatiotemporal asymmetry assessments during BW might reflect an impaired state and/or descending control of the spinal locomotor circuitry and can be used for diagnostic purposes and as complementary markers of gait recovery.NEW & NOTEWORTHY Early injuries to developing motor regions of the brain affect both forward progression and other forms of gait. In particular, backward walking highlights prominent gait asymmetries in children with hemiplegia and diplegia from cerebral palsy and can give a more comprehensive assessment of gait pathology. The observed spatiotemporal asymmetry assessments may reflect both impaired supraspinal control and impaired state of the spinal circuitry.


2020 ◽  
Vol 6 (2) ◽  
pp. 175-186
Author(s):  
Agus Syahid

This study describes language disorders in the people with cerebral palsy and what kind of treatments to people with cerebral palsy related to language disorders. Cerebral palsy is a series of disorders with problems regulating muscle movements where it is as a result of some damage to the motor centers in the brain. Damage to the motor center in the brain that causes cerebral palsy can occur prenatal (before birth), perinatal (during the birth), or even postnatal (immediately after birth). There are several main problems that are often found and faced by children with cerebral palsy, they are: (1) difficulty in eating and swallowing caused by motor disturbances in the mouth, (2) difficulty in speaking, (3) difficulty in hearing, and (4) language disorders.


PEDIATRICS ◽  
1956 ◽  
Vol 18 (5) ◽  
pp. 761-761

The term "brain fever" is often applied clinically to individuals suffering recurrent and at times hectic courses of fever and who are known to have had excessive damage to the brain. Few documented reports of this condition have appeared in the literature to support the concept. The authors provide detailed study of two children with cerebral palsy who exhibited prolonged episodes of fever which could not be accounted for by any disease process other than the fixed lesion in the brain. The authors discuss the relationship between the tendency towards such episodes of fever and areas within the brain which have been found to be damaged. The authors consider that this so-called cerebral fever may arise from a disturbed thermal regulation, resulting from lesions in the hypothalamus or from lesions elsewhere in the brain.


Author(s):  
Agnes Budiarti ◽  
Ferida Yuamita ◽  
Suci Miranda

Celebral Palsy (CP) is a disorder of muscle control which results from some damage to part of the brain. Children with cerebral palsy can have problems such as muscle weakness, awkardness, slowness, shakiness, and difficulty with balance. In severe cerebral palsy, the child may have many difficulties in performing everyday tasks and movements.  However, a proper treatment often brings an improvement, though not a cure. In terms of independent mobility particularly walking and standing, this study aims to design a walking assistive device called Vestmiles. The product design includes four parts: a belt, vest, sandals for parents, and sandals for children with the length and height successively: 47.3 cm and a 23 cm; 39.3 cm and 59 cm; 26.9 cm and 9.9 cm (parents’ size of slippers); 23.9 cm and 6 cm (children’s size of slippers). To design the product, it is used the measurement gained from 3 Celebral Palsy children. This work is not only to support physiotherapy program, but also increasing relationship between children and parents. Vestmiles is a user friendly, lightweight, adaptable, efficient and cost effective device.


2001 ◽  
Vol 8 (1-2) ◽  
pp. 51-69 ◽  
Author(s):  
Margaret J. Mayston

The movement disorder of cerebral palsy (CP) is expressed in a variety of ways and to varying degrees in each individual. The condition has become more complex over the last 20 years with the increasing survival of children born at less than 28 to 30 weeks gestationai age. Impairments present in children with CP as a direct result of the brain injury or occurring indirectly to compensate for underlying problems include abnormal muscle tone; weakness and lack of fitness; limited variety of muscle synergies; contracture and altered biomechanics, the net result being limited functional ability. Other contributors to the motor disorder include sensory, cognitive and perceptual impairments. In recent years understanding of the motor problem has increased, but less is known about effects of therapy. Evidence suggests that therapy can improve functional possibilities for children with cerebral palsy but is inconclusive as to which approach might be most beneficial. The therapist requires an understanding of the interaction of all systems, cognitive/perceptual, motor, musculoskeletal, sensory and behavioral, in the context of the development and plasticity of the CNS. It is necessary to understand the limitations of the damaged immature nervous system, but important to optimize the child's functional possibilities.


2015 ◽  
pp. 44-49
Author(s):  
Nu Van Anh Ton

Objective: Cerebral palsy is characterized by non-progressive abnormalities in brain, that is the real burden to family and society. Finding the signs of clinical, subclinical, disorders as well as co-morbidities in children with cerebral palsy are needed. If detected early, aggressive treatment and rehabilitation will significantly improve mobility, reduce the level of disability and the child integrate into the community. Material and methods: Children diagnosed with cerebral palsy, with cross-sectional descriptive methods. Time from 6/ 2012 to 3/2014. Results: study on 45 children with cerebral palsy: older than 36 months accounted for 60.0%; boys more than girls accounted 57.8%; seizure is the common reason the child to the hospital (accounted for the highest percentage of 24.4%). Spastic cerebral palsy can account for the highest proportion of 48.9%, ataxia may account for the lowest percentage of 2.2%; quadriplegic highest percentage of 51.1%; level V cerebral palsy (not self- activity even when have supported devices) accounted for a high proportion of 51.1%, pneumonia, seizures and saliva flow is the most common disorder in children with cerebral palsy, with a history of risk factors for birth asphyxia high proportion least 33.3%; detection epileptic wave in children with cerebral palsy through EEG high proportion of 53%, there is physical injury in the brain in children with cerebral palsy through CTscanner high percentage of 62.5%. Conclusion: To avoid the risk of cerebral palsy, special asphyxia, and do the EEG records, imaging diagnostic to identify clearly brain lesions for better outcome. Key words: Cerebral palsy


2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Xi Zhang ◽  
Zhenfang Wang ◽  
Jun Liu ◽  
Lulin Bi ◽  
Weilan Yan ◽  
...  

To analyze the brain CT imaging data of children with cerebral palsy (CP), deep learning-based electronic computed tomography (CT) imaging information characteristics were used, thereby providing help for the rehabilitation analysis of children with CP and comorbid epilepsy. The brain CT imaging data of 73 children with CP were collected, who were outpatients or inpatients in our hospital. The images were randomly divided into two groups. One group was the artificial intelligence image group, and hybrid segmentation network (HSN) model was employed to analyze brain images to help the treatment. The other group was the control group, and original images were used to help diagnosis and treatment. The deep learning-based HSN was used to segment the CT image of the head of patients and was compared with other CNN methods. It was found that HSN had the highest Dice score (DSC) among all models. After treatment, six cases in the artificial intelligence image group returned to normal (20.7%), and the artificial intelligence image group was significantly higher than the control group (X2 = 335191, P < 0.001 ). The cerebral hemodynamic changes were obviously different in the two groups of children before and after treatment. The VP of the cerebral artery in the child was (139.68 ± 15.66) cm/s after treatment, which was significantly faster than (131.84 ± 15.93) cm/s before treatment, P < 0.05 . To sum up, the deep learning model can effectively segment the CP area, which can measure and assist the diagnosis of future clinical cases of children with CP. It can also improve medical efficiency and accurately identify the patient’s focus area, which had great application potential in helping to identify the rehabilitation training results of children with CP.


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