[Visual disorders in children cerebral palsy]
Insights
This study examined 55 children with cerebral palsy (CP), finding that antenatal and perinatal factors contribute to visual and motor impairments in young patients with CP.
Area of Science:
- Neurology
- Ophthalmology
- Developmental Pediatrics
Context:
- Investigated 55 pediatric patients aged 4-10 years diagnosed with cerebral palsy (CP).
- Focused on children presenting with visual and eye movement disturbances.
- Analyzed antenatal and perinatal factors influencing early development.
Purpose:
- To analyze the impact of antenatal and perinatal adverse factors on the development of children with cerebral palsy.
- To identify common ophthalmologic, motor, and cognitive symptoms in affected children.
- To explore the relationship between early life adverse events and brain lesion patterns.
Summary:
- Most children exhibited significant ophthalmologic issues including decreased visual acuity, pupillary reaction disturbances, refractive errors, strabismus, nystagmus, visual field restriction, and ophthalmoparesis.
- Concurrent movement and coordination disorders, alongside mental and speech impairments, were prevalent.
- The study posits that combined adverse factors during antenatal, intranatal, and neonatal periods cause brain lesions affecting visual and motor pathways.
Impact:
- Highlights the critical role of early life factors in the pathogenesis of cerebral palsy.
- Underscores the high co-occurrence of visual and neurological deficits in pediatric CP.
- Provides insights into the complex interplay of factors leading to the multifaceted clinical presentation of cerebral palsy.
Abstract:
A complex study of 55 patients with children cerebral palsy who complained on visual and eye movement disturbances in the age from 4 to 10 years has been carried out. Main factors in the anamnesis that have negative effect on the organism formation in antenatal and perinatal periods have been analyzed. Most of children had ophthalmologic symptoms (visual acuity decrease, disturbance of pupillary reaction to convergence, disturbance of refraction, refraction strabismus, horizontal nystagmus, restriction of the field of vision, ophtalmoparesis), movement and coordination disorders, mental and speech disorders. Plausibly, the combination of different aversive factors in the antenatal, intranatal and neonatal periods led to the brain lesion, including structures of movement and visual analyzers and their links to other analyzers, that determined the clinical picture of disease.
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