《中国康复理论与实践》 ›› 2008, Vol. 14 ›› Issue (02): 184-185.

• 临床研究 • 上一篇    下一篇

失调型脑性瘫痪患儿临床及智能结构分析

李君2; 贾飞勇;2 王贞; 李玉堂; 李永库   

  1. 1.青岛市残疾儿童医疗康复中心脑瘫康复科,山东青岛市 266011;2.吉林大学第一医院小儿神经科,吉林长春市 130021
  • 收稿日期:2007-01-24 出版日期:2008-02-01 发布日期:2008-02-01

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

LI Jun, JIA Fei-yong, WANG Zhen, et al   

  1. The Department of Neurologilcal Rehabilitation of Qingdao Children Hospital, Qingdao 266011, Shandong, China
  • Received:2007-01-24 Published:2008-02-01 Online:2008-02-01

摘要: 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。

关键词: 脑性瘫痪, 共济失调, 临床, 智能

Abstract: 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.

Key words: cerebral palsy, ataxia, clinic, intelligence