%0 Journal Article %1 Niemann1996b %A Niemann, G. %A Grodd, W. %A Sch?ning, M. %D 1996 %J Neuropediatrics %K Cerebral Palsy; Cohort Studies; Extremities; Female; Follow-Up Germany; Hemiplegia; Humans; Infant; Infant, Newborn; Magnetic Resonance Imaging; Male; Prognosis; Remission, Spontaneous; Severity of Illness Index %N 4 %P 197--201 %T Late remission of congenital hemiparesis: the value of MRI. %V 27 %X In our department of neuropediatrics we made a definite diagnosis of congenital hemiparesis in a total of 123 patients born between 1974 and 1985. This diagnosis was always made or confirmed at a point after the patient's first birthday. Recently, we were able to follow up on 102 of them (83\%) to determine whether their symptoms persist, that is, if the initial diagnosis of cerebral palsy (CP) was correct or not. Now, at the age of 9 to 18 years, 94 of these 102 patients (92\%) still suffer from hemiparesis. We were able to perform MRI on 44 of them. A lesion consistent with the neurological symptoms was found in 43. Only one patient had normal findings-a false negative, so to speak. Of the 102 patients, eight (8\%) had no hemiparesis, i.e. no disability at all at the time of the follow-up. All eight had in common the fact that the former functional involvement had been slight and not arm-dominated. Seven of them were also examined with MRI. Six had normal findings; MRI revealed a periventricular lesion consistent with the earlier hemiparetic symptoms in only one patient (a false positive, so to speak). We conclude that some children öutgrow" a hemiparetic cerebral palsy, even in later childhood years. In our patient group this happened between the ages of 3 and 10. We further propose that MRI could be useful in distinguishing between transitory and persistent hemiparesis.

@article{Niemann1996b, abstract = {In our department of neuropediatrics we made a definite diagnosis of congenital hemiparesis in a total of 123 patients born between 1974 and 1985. This diagnosis was always made or confirmed at a point after the patient's first birthday. Recently, we were able to follow up on 102 of them (83\%) to determine whether their symptoms persist, that is, if the initial diagnosis of cerebral palsy (CP) was correct or not. Now, at the age of 9 to 18 years, 94 of these 102 patients (92\%) still suffer from hemiparesis. We were able to perform MRI on 44 of them. A lesion consistent with the neurological symptoms was found in 43. Only one patient had normal findings-a false negative, so to speak. Of the 102 patients, eight (8\%) had no hemiparesis, i.e. no disability at all at the time of the follow-up. All eight had in common the fact that the former functional involvement had been slight and not arm-dominated. Seven of them were also examined with MRI. Six had normal findings; MRI revealed a periventricular lesion consistent with the earlier hemiparetic symptoms in only one patient (a false positive, so to speak). We conclude that some children "outgrow" a hemiparetic cerebral palsy, even in later childhood years. In our patient group this happened between the ages of 3 and 10. We further propose that MRI could be useful in distinguishing between transitory and persistent hemiparesis.}, added-at = {2014-07-19T20:55:52.000+0200}, author = {Niemann, G. and Grodd, W. and Sch?ning, M.}, biburl = {https://www.bibsonomy.org/bibtex/2e777512d26f8702ef6dcf6ff5715178e/ar0berts}, groups = {public}, interhash = {2e47d28532d7227020379ad6ac59e257}, intrahash = {e777512d26f8702ef6dcf6ff5715178e}, journal = {Neuropediatrics}, keywords = {Cerebral Palsy; Cohort Studies; Extremities; Female; Follow-Up Germany; Hemiplegia; Humans; Infant; Infant, Newborn; Magnetic Resonance Imaging; Male; Prognosis; Remission, Spontaneous; Severity of Illness Index}, month = Aug, number = 4, pages = {197--201}, pmid = {8892369}, timestamp = {2014-07-19T20:55:52.000+0200}, title = {Late remission of congenital hemiparesis: the value of MRI.}, username = {ar0berts}, volume = 27, year = 1996 }