کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3054407 1580052 2009 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Cerebral infarction and neurodevelopmental outcome in childhood tuberculous meningitis
موضوعات مرتبط
علوم زیستی و بیوفناوری علم عصب شناسی علوم اعصاب تکاملی
پیش نمایش صفحه اول مقاله
Cerebral infarction and neurodevelopmental outcome in childhood tuberculous meningitis
چکیده انگلیسی

IntroductionCerebral infarction is an important cause of neurological sequelae in childhood tuberculous meningitis (TBM).AimTo investigate neurodevelopmental outcome and development of motor sequelae in TBM-related cerebral infarction.MethodsA group of 64 children with TBM and computerized tomographic (CT) evidence of infarction were compared with regard to motor sequelae and neurodevelopmental outcome, with 54 children with TBM but no radiological evidence of infarction. The association between infarct number, size, location and outcome was investigated in the infarct group. Selected covariates were entered into a multivariate model to better understand the independent contribution of each factor on neurodevelopmental outcome.ResultsAn association was found between the presence, number and size of hemispheric infarcts and motor handicap on follow-up. Location of single basal ganglia infarcts, however, did not correlate with motor outcome. The Griffiths general developmental quotient (GQ) was significantly lower in children with bilateral (p < 0001) and unilateral multiple infarcts (p = 0.0239) compared to those without infarcts. The GQ of children with unilateral single infarcts was not significantly lower than those without infarction (p = 0.2282).ConclusionInfarct characteristics should be taken into account when neurodevelopmental outcome is prognosticated in TBM. Young age, unilateral multiple or bilateral infarction on CT at 1 month, advanced stage of TBM and the interaction term stage × Glasgow coma score are the best predictors of neurodevelopmental outcome at 6 months.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: European Journal of Paediatric Neurology - Volume 13, Issue 4, July 2009, Pages 343–349
نویسندگان
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