[Features of Epileptiform Activity on EEG in Children With Periventricular Leukomalacya and Cerebral Palsy Without Epilepsy].
[Features of epileptiform activity on EEG in children with periventricular leukomalacya and cerebral palsy without epilepsy].
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Zh Nevrol Psikhiatr Im S S Korsakova. 2012; 112(7 Pt 2): 71-6
We have analyzed morphologic and chronologic characteristics of epileptiform activity, with account for repeated EEG-study during the follow-up, in patients with periventricular leukomalacia and children cerebral palsy without epilepsy. The high frequency of “benign epileptiform patterns of childhood” (BEPC) was noted. The epileptiform activity recorded by chronologic criteria corresponded to BEPC in 67% of children. The high probability of epileptiform activity of symptomatic character was identified in 33% of children. The results obtained in this study of the parameters of epileptiform activity could be of great importance for predicting the risk for the development of epilepsy and tactics of rehabilitation of motor disorders.
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[Spasticity in children cerebral palsy: diagnosis and treatment strategies].
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Zh Nevrol Psikhiatr Im S S Korsakova. 2012; 112(7 Pt 2): 24-8
Spasticity in children cerebral palsy has its own peculiarities due to the presence of pathological tonic reflexes, pathological sinkinetic activity during arbitrary movements, disturbance of coordinative interactions of muscle synergists and antagonists, increase of total reflex excitability. Physiotherapeutic methods, massage, therapeutic exercises, kinesitherapy, biological feedback training (BFT), methods of orthopedic correction, neurosurgery are widely used in the treatment of spasticity. The use of botulinum toxin type A is a new effective approach to the treatment of spasticity that improves motor functions and quality of life of children with children cerebral palsy. It is being used in the treatment of children and adolescence in a polyclinic unit of the Moscow psychoneurological hospital since 2001. The experience of treatment with botulinum and wide implementation of this method indicated that botulinum toxin injections in the complex treatment of spasticity allow to optimize approaches to treatment of children and adolescence with children cerebral palsy and to increase significantly the quality of medical-social rehabilitation of patients.
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[Changes of motor function in patients with cerebral palsy during the treatment using the intensive neurophysiological rehabilitation system].
Filed under: Rehab Centers
Zh Nevrol Psikhiatr Im S S Korsakova. 2012; 112(7 Pt 2): 14-7
Changes in gross motor function during the intensive neurophysiological rehabilitation were studied in 61 patients, aged from 2 to 15 years, with spastic forms of cerebral palsy. All patients were examined before and at the end of a two-week course of treatment using the Gross Motor Function Measurement GMFM-66 Item Sets test to calculate motor development scores. Statistical analysis indicates a significant increase in the level of motor development of children after treatment from 45.1 to 47.6 (p > 0.01). The most significant progress was noted in patients at level II of Gross Motor Function Classification System. The score of motor development has increased from 66.2 to 69.6 (p < 0.01). The results suggest the effectiveness of the Intensive Neurophysiological Rehabilitation System for the improvement of gross motor functions in patients with cerebral palsy. It is necessary to continue this study according to the requirements of evidence-based medicine. HubMed – rehab
[The problem of rehabilitation of children cerebral palsy].
Filed under: Rehab Centers
Zh Nevrol Psikhiatr Im S S Korsakova. 2012; 112(7 Pt 2): 9-13
The paper is devoted to the problem of early diagnosis and correction of development of children with perinatal lesion of the nervous system. Early rehabilitation treatment in children cerebral palsy (CCP) is necessary due to the plasticity of the child’s brain and its universal ability to compensate for disturbed functions as well as due to the fact that the first two years of life are optimal for maturation of the speech functional system. Evidence for the differentiation of early, chronic and residual studies of CCP is presented. The authors emphasize the role of the pathology of the functional antigravitation system in the formation of motor-reflex disorders. Possibilities of pathogenetic treatment in each stage of disease are considered.
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