A Clinical Study of Cerebral Palsy |
Soo Young Whang, Sung Kyu Lee |
Department of Pediatrics,College of Medicine,Yonsei University Seoul,Korea |
腦性痲痺의 臨床的 硏究 |
黃秀榮, 李升圭 |
延世大學校 醫科大學 小兒科學敎室 |
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Abstract |
This is a clinical study of 88 cerebral palsy cases, visited pediatric department of Severance Hospital from Feb. 1970 through Jun. 1974. We observed following results; 1)Spastic paralysis is 59 cases (67.0%) that subdevides into diplegia 26 cases (29. 6%), quadriplegia 25 cases (28.4%), paraplegia 5 cases (5.7%), hemiplegia 2 cases (2.3%), and monoplegia 1 cases (1.4%). Athetosis is 11 cases (12. 5%), mixed group is 9 cases (10.3%), rigidity is 6
cases (6.8%), and atonia is 3 cases (3.4%). 2) The sex ratio of male to female is 2. 3 : 1. 3) Sixty two cases (70.4%) have first visit to pediatric out patient clinic before age of 2. 4) The incidence of the first born baby is high (37.5%).
5)During prenatal period the possible etiologic factors influenced to cerebral palsy is 14.8%, natal period 72.7%, and postnatal period 22.7%. The most frequent possible prenatal factor is uterine hemorrhage during pregnancy (8.0^), natal factor is neonatal asphyxia (25%), and postnatal factor is jaundice (15.9%). 6)The convulsion is noted in 27. 3% of patients. 7)The growths are generally retarded, especially in head circumference. 8) There are no abnormal findings in ferric chloride test for PKU and skull x-ray.
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