失调型脑性瘫痪患儿临床及智能结构分析

目的了解失调型脑瘫患儿的临床及智能结构特点。方法对21例住院脑瘫患儿通过采集病史、临床体征检查、头部MRI检查、智能测定,分析其临床及智能结构特点。结果本组患儿运动发育里程碑明显低于正常儿水平,且伴有平衡功能障碍;80.9%的患儿头部MRI异常,主要表现为小脑受损,智能各能区明显落后,但随着运动能力的提高,智力水平获得一定程度的改善。结论失调型脑瘫主要因小脑损伤所引起,表现为运动发育落后,平衡功能障碍,并可引起智力低下。

Clinical and Intellectual Characteristics of Children with Cerebral Palsy of Ataxia Type

Objective To investigate the clinical and intellectual characteristics of children with cerebral palsy of ataxia type. Methods Twenty-one children with cerebral palsy of ataxia type were evaluated by the illness history, clinical physical examination, brain MRI scan and intellectual assessment. Results Delayed motor milestones and dysfunction of balance were found in these children, and 80. 9% of brain MRI scan was abnormal as cerebellar damage, and delayed intellectual ability found in these children was ameliorated as improvement of motor function. Conclusion Cerebral palsy of ataxia type is mainly caused by cerebellar damage manifests as delayed motor function, dysfunction of balance and mental retardation.