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Neurodevelopmental profiles of children with unilateral cerebral palsy associated with middle cerebral artery and periventricular venous infarctions

Authors :
Jan Willem Gorter
Darcy Fehlings
Gabrielle deVeber
Marie Kim
Carolyn Hunt
Anna McCormick
Ronit Mesterman
Renee-Marie Ragguett
Pradeep Krishnan
Source :
Developmental Medicine and Child Neurology
Publication Year :
2021
Publisher :
Wiley, 2021.

Abstract

Aim To compare the neurodevelopment of children with unilateral cerebral palsy (CP) with middle cerebral artery (MCA) and periventricular venous infarctions (PVIs). Method In this cross‐sectional study, children with unilateral CP completed a neurological exam, unimanual Quality of Upper Extremity Skills Test, hand usage questionnaires, and IQ test. Neuroimaging was obtained from health records. Results Two hundred and forty‐five participants with unilateral CP had neuroimaging (151 [61.9%] male, ages 2–18y, median=7y 6mo, interquartile range [IQR]=6y 7mo, with 93.6% in Gross Motor Function Classification System level I/II and 78.8% in Manual Ability Classification System level I/II). Ninety‐seven (39.6%) had MCA injuries and 106 (43.3%) had periventricular white matter injuries, of which 48 (45.3%) were PVIs. Median Quality of Upper Extremity Skills Test for the MCA group was 49.2 (IQR=55.8), PVI 79.9 (IQR=23.6) (Mann–Whitney U=988.50, p<br />Video Podcast: https://youtu.be/79w_s82qhr0

Details

ISSN :
14698749 and 00121622
Volume :
63
Database :
OpenAIRE
Journal :
Developmental Medicine & Child Neurology
Accession number :
edsair.doi.dedup.....5970cf36c15da3dbad4d9fbe9d60528c
Full Text :
https://doi.org/10.1111/dmcn.14818