Turolla de Souza RC1, Moura-Ribeiro MV1, Sylvia Maria C1, Telma O1, Martins AJ2
1State University of Campinas, Neurology, Campinas, Brazil, 2Pontifícia Universidade Católica de Campinas, Physiotherapy, Campinas, Brazil
Background: Stroke in childhood can bring attention to the child, family and society in general. According to the WHO, stroke refers to clinical manifestations resulting from sudden rupture or occlusion of arteries and veins, resulting in focal or global impairment. This condition produces neurological deficits that persist for more than 24 hours and can lead to death. The concern with the treatment of children with neuromotor sequelae has been constant and extensive for decades, however, associated with the dysfunctional picture of its recent etiology.
Purpose: The purpose of the present study was to establish a relation between the performance of motor and sensory function and magnetic resonance imaging (MRI) findings in children with hemiparetic and diagnosis cerebrovascular injury (stroke).
Methods: This project was approved by the Ethic Committee of The Medical Sciences Faculty of UNICAMP, Campinas, São Paulo, Brazil. Seven patients were assessed: 02 boys and 05 girls; 3 were right hemiparetic and 4 left hemiparetic. The ages ranged from 7 to 16 years (mean age 12 years and 8 months) and the dysfunction was classified according to the EB test protocols that results in: normal, mild, moderate or severe. The EB test assessed 05 parts demonstrating when comparison with MRI: Gross Motor Function; Neurology Test; Fine Motor Function; Sensory Function and Perception. This study was designed to be descriptive and cross-sectional.
Results: The patients had abnormal MRI findings where 02 children had subcortical lesions and 05 had cortical + subcortical lesions. Comparing the results of the performance of motor and sensory function and magnetic resonance imaging there was no difference between the results of patients with only cortical lesions and those who had cortical + subcortical lesions.
Conclusion(s): This study concludes that even thought the subjects had different brain lesions, the results were similar and demonstrated the repercussions of the impact of the brain lesion on the motor and sensorial function.
Implications: Despite the difficulties involved, it is necessary the continuous research on rehabilitation after childhood stroke has a positive impact on the rehabilitation of these patients, being able to report on acquired neurological and neuromotor disorders.
Keywords: Hemiparetic, Stroke, Assessement
Funding acknowledgements: No funding for research
Purpose: The purpose of the present study was to establish a relation between the performance of motor and sensory function and magnetic resonance imaging (MRI) findings in children with hemiparetic and diagnosis cerebrovascular injury (stroke).
Methods: This project was approved by the Ethic Committee of The Medical Sciences Faculty of UNICAMP, Campinas, São Paulo, Brazil. Seven patients were assessed: 02 boys and 05 girls; 3 were right hemiparetic and 4 left hemiparetic. The ages ranged from 7 to 16 years (mean age 12 years and 8 months) and the dysfunction was classified according to the EB test protocols that results in: normal, mild, moderate or severe. The EB test assessed 05 parts demonstrating when comparison with MRI: Gross Motor Function; Neurology Test; Fine Motor Function; Sensory Function and Perception. This study was designed to be descriptive and cross-sectional.
Results: The patients had abnormal MRI findings where 02 children had subcortical lesions and 05 had cortical + subcortical lesions. Comparing the results of the performance of motor and sensory function and magnetic resonance imaging there was no difference between the results of patients with only cortical lesions and those who had cortical + subcortical lesions.
Conclusion(s): This study concludes that even thought the subjects had different brain lesions, the results were similar and demonstrated the repercussions of the impact of the brain lesion on the motor and sensorial function.
Implications: Despite the difficulties involved, it is necessary the continuous research on rehabilitation after childhood stroke has a positive impact on the rehabilitation of these patients, being able to report on acquired neurological and neuromotor disorders.
Keywords: Hemiparetic, Stroke, Assessement
Funding acknowledgements: No funding for research
Topic: Neurology: stroke; Paediatrics: cerebral palsy; Paediatrics
Ethics approval required: Yes
Institution: Campinas State University
Ethics committee: Campinas State University
Ethics number: 54612002
All authors, affiliations and abstracts have been published as submitted.
