| The Clinical Observation of Cerebral Palsy |
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Sang Heyup Kim |
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Department of Pediatrics, College of Medicine, Secul National University |
| 腦性麻痺의 臨床的 觀察 |
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金相協 |
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서울大學校 醫科大學 小兒料學敎室 |
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| Abstract |
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In order to serve planning the future work to be done on the problems in cerebral palsy this study was carried out. The cerebral palsy patients, 200 cases, were examined in out patient clinic and ward, Seoul National University Hospital, for 7 years, from 1966 to 1973. The following is a summary of the survey of the etiological and clinical conclusions regarding cerebral palsy based on the findings of this study. 1.According to classification of the American Academy of Cerebral Palsy patients were classi fied. Spastic paralysis 73. 0% athetosis 8. 0%, rigidity, 6. 0%, ataxia 1. 0%, atonia 2. 5%, mixed group 5.0% and kernicterus were 4.5%. 2.The patient' s age at the first examination appeas under 2 years of age in 87% of patients. 3. The material shows a male predominance 141 cases (70.5%) against 59 cases (29.5%) of female. Sex ratio of boys and girls were 2.4 to 1.
4.A predominance of first born children is noted (46.2%). 5.Information regarding the course of birth showed pathological birth in 14. 5%. Among them “difficult birth” were most common form. 6.In 18% of cases neonatal cause of cerebral palsy were presumedj Apnea and ayhyxia were 14% of total cases. 7.13% of the patients were prematures. This percentage of premature is much higher than another statistics. 8.Information regrading the postnatal cause of cerebral palsy showed in 57 cases (28. 5%). Among them jaundice patients 39 cases (19. 5%) were predominant. 9.34 cases (17. 0%) had convulsions. Onset of convulsions were before 2 years of age in most
cases. The characteristic nature of convulsion were generalized convulsion. 10.About half cases had abnormal electroencephalography. Most cases had moderate to markedly abnormal generalized dysrhythmia. 11.There are parents of 74.5% of cerebral palsy who gave up accurate diagnosis and consultation within 7 days so easily.
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