| Cerebral palsy, Periventricular echodensity, Cyst, Intraventricular hemorrhage |
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Kyeung Ho Park1, Sang Hee Kim1, Hyung Won Lee1, Kil Hyun Kim1, Hak Soo Lee1, Ji Hye Kim2, Young Seok Lee2 |
1Department of Pediatrics, Gil General Hospital, Incheon, Korea
2Department of Radiology, Gil General Hospital, Incheon, Korea |
| 미숙아 뇌초음파검사상 비정상적인 소견을 보인 환아에서 뇌성마비로의 진행에 대한 연구 |
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박경호1, 김상희1, 이형원1, 김길현1, 이학수1, 김지혜2, 이영석2 |
1중앙 길병원 소아과
2중앙 길병원 방사선과 |
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| Abstract |
Purpose
: Although neonatal intensive care and development of obstetrics play a role
in improving survival rate in prematurity, cerebral palsy(CP) is still one of the neurologic
sequelae. We tried to find what kinds of risk factors in the patients with abnormal
neurosonographic findings who developed CP later. This study was performed to predict
early enough who will develop CP later and to treat rapidly for rehabilitation.
Methods
: The one hundred and forty one infants with intraventricular hemorrhage,
cyst, or abnormal increased periventricular echodensity in serial neurosonographic findings
were admitted to the neonatal intensive care unit of Gil general hospital from January
1992 to December 1994. Neurosonographic findings in CP group and non-CP group
during postpartum 18 months to 54 months were analysed retrospectively.
Results
:
1) 18 of one hundred and forty one cases with abnormal neurosonographic findings
developed CP. The duration of mechanical ventilation of the CP group was 11.6¡¾16.1
days. It is significantly shorter than that of the control group(non-CP group : 2.2¡¾7.0
day). The duration of oxygen therapy in the CP group was 22.4¡¾19.2 days. Which is also
significantly shorter than that of the control group(non-CP group : 5.4¡¾8.4 day)(P < 0.01).
2) Increased periventricular echodensity and the size of the cyst in neurosonographic
findings in the CP group is significantly different from those of the non-CP group
P < 0.01).
3) In CP group(N=18), Increased periventricular echodensity and cyst formation were
located most commonly in the parietal region.
4) The grade of the intraventricular hemorrhage in the CP group was significantly
different from that in the non-CP group(P < 0.01).
5) The neurosonographic findings give the diagnostic accuracy for predicting CP.
Conclusions
: We studied the relationship of the abnormal neurosonographic findings,
CP, and associated risk factors. In review, By using neurosonographic examination the
risk of the development of CP could be predicted, and by early diagnosis of CP the
quality of the life of CP-patient could be better. |
| Key Words:
Cerebral palsy, Periventricular echodensity, Cyst, Intraventricular hemorrhage |
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