大脑性麻痹:当前视角。

Q2 Medicine
NeoReviews Pub Date : 2024-06-01 DOI:10.1542/neo.25-6-e350
Sanjeet Panda, Ajay Singh, Hugo Kato, Artemiy Kokhanov
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引用次数: 0

摘要

脑瘫(CP)是导致儿童运动障碍的最常见原因。大脑在不同时期受到的损伤各不相同。因此,CP 是一种极其复杂的临床诊断,在每个人和不同年龄段的表现都不尽相同。随着早产新生儿存活率的提高、对极早产新生儿积极抢救的增加以及出生后不久广泛的基因检测的普及,关注 CP 的早期诊断和长期预后势在必行。根据运动障碍的类型、功能能力、分布和病因,CP 主要分为 4 类。在过去的 20 年中,人们对 CP 的认识有了很大的发展,CP 的早期检测方法也随之进步。适当的诊断对于受影响家庭的适当教育和咨询以及尽早采取治疗干预措施至关重要。在本综述中,我们将重点关注早期大脑发育,并概述 CP 的病因、分类、诊断、早期治疗方案和预后。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cerebral Palsy: A Current Perspective.

Cerebral palsy (CP) is the most common cause of motor disability in children. Insults to the brain at different times lead to diverse injuries. As a result, CP is an extremely heterogeneous clinical diagnosis, presenting differently in each individual and at various ages. With improving survival rates of preterm newborns, increasing active resuscitation of extremely preterm newborns, and widespread availability of extensive genetic testing soon after birth, it is imperative to focus on earlier diagnosis and long-term outcomes of CP. CP is primarily classified into 4 categories based on type of motor impairment, functional ability, distribution, and etiology. As the understanding of CP has evolved significantly in the last 2 decades, the methods of early detection of CP have consequently advanced. Appropriate diagnosis is essential for proper education and counseling of affected families, and introduction of therapeutic interventions as early as possible. In this review, we focus on early brain development and provide an overview of the etiology, classification, diagnosis, early therapeutic options, and prognosis of CP.

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来源期刊
NeoReviews
NeoReviews Medicine-Pediatrics, Perinatology and Child Health
CiteScore
2.20
自引率
0.00%
发文量
110
期刊介绍: Co-edited by Alistair G.S. Philip, MD, FAAP, and William W. Hay Jr., MD, FAAP, NeoReviews each month delivers 3 to 4 clinical reviews, case discussions, basic science insights and "on the horizon" pieces. Written and edited by experts, these concise reviews are available to NeoReviews subscribers at http://neoreviews.aappublications.org. Since January 2009, all clinical articles have been mapped to the American Board of Pediatrics (ABP) content specifications in neonatology.
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