[Computerized tomographic and clinical examination of children with hemiparesis]

Clinical examination and computerized tomography of 29 children with hemiparesis of different origin and severity (23 with a hemiparetic form of infantile cerebral paralysis and 6 with acquired hemiparesis) revealed in 69 per cent of the patients pathomorphological changes in the brain whose markedness correlated with the severity of the clinical status. The most frequent finding was dilatation of the ventricular system of the brain which was asymmetrical in most cases. Along with the atrophic process some patients presented focal or diffuse changes in the density of the cerebral matter depending on the nature of the primary damaging factors (zones of decreased density, porencephaly, calcification). Specification by computerized tomography of the structure and size of the pathomorphologic alterations in the brain allows evaluation of the clinical prognosis.