脳性運動障害危険児に関する周産期情報の検討

Abstract

One hundred and five children with risk of cerebral motor disturbance born at 3 hospitals in Kyoto visited St. Joseph Hospital for the Handicapped from February 1981 to April 1983, among them, 95(90%) were under one year of age. The children were studied to assess the factors predictive of central nervous system injury caused by parturition. Following diagnoses were made at the first medical examination: cerebral palsy, 7 children (7%); central coordination disturbance, 82 (78%); others (hypotania, motor delay, etc.), 16 (15%). The children with severe deficits had high risk factors during pregnancy and parturition, and manifested various abnormal physiological signs during neonatal period. However, no significant high risk factors and no prominent abnormal physiological signs were found among 15 children who received long-term treatment (more than 9 months). Twelve (80%) of them were born between September and February. This finding suggests that thickly clothed infants could not move their heads and extremities voluntarily and therefore they were inhibited from natural training exercise necessary for recovery from brain injury. The present study suggests that the routine systematic examination during neonatal period to detect signs of brain damage and the promotive care to recover from brain injury are necessary for every infants to prevent the development of motor and cognitive deficits.