The Doctor’s Responsibility in the Prevention of Postnatal Diseases of the Brain

Byers, Randolph K.

doi:10.1016/s0031-3955(16)30591-0

Cited by 2 publications

(3 citation statements)

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“…Byers (1962) reported 12 cases of cerebrovascular accident in children, in two of which the onset was first indicated by seizures. The spontaneous arterial thromboses which occur in childhood without any cardiac disease or defect or vascular malformation are an interesting CHESTER A. SWINYARD JAMES SWENSEN LEON GREENSPAN condition.…”

Section: Discussionmentioning

confidence: 99%

“…These data of course reflect not only brain vulnerability but the individual's total resistance. Byers (1957) has suggested that the neurological factors which account for the newborn brain's susceptibility to damage relate to its rapid growth and development. He suggested that the thin-walled, poorlysupported veins, which increase the likelihood of intracranial haemorrhage, are an inadequate defence against infections.…”

Section: Discussionmentioning

confidence: 99%

“…Spontaneous thrombosis of the internal carotid artery has been reported in a baby of 16 months, who showed extensive calcific deposits in the walls of the internal carotid and some cerebral vessels. Byers (1962) reported 12 cases of cerebrovascular accident in children, in two of which the onset was first indicated by seizures. Of the seven children in whom arterio-grams were done six were found to have vascular malformations.…”

Section: Discussionmentioning

confidence: 99%

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An Institutional Survey of 143 Cases of Acquired Cerebral Palsy

Swinyard

Swensen

Greenspan

1963

Develop Med Child Neuro

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SUMMARY Out of 1,283 cases of cerebral palsy diagnosed at the Children's Division of the Institute of Physical Medicine and Rehabilitation, 143 (11 per cent) acquired their neurological disability after the neonatal period. In 46 per cent of these the cerebral palsy was acquired from infection, in 17 per cent from trauma and in 11 per cent from cerebrovascular lesions. Nearly three‐quarters of the total had the spastic type of neuromotor deficit. Nearly half had a quadriparesis. All the cerebrovascular lesion cases had a hemiparesis. In 41 per cent of the total the children could not walk; 35 per cent were deficient in one or more areas of the activities of daily living; 41 per cent were mentally retarded. About a third had sensory, perceptual and/or visual deficits, and over half had speech deficits. There are many opportunities for preventing acquired cerebral palsy. Prevention is more likely to be effective in infective, traumatic or postsurgical cases than in those secondary to cerebrovascular accident, tumor or seizures. The chances of prevention are highest in the area of central nervous system infection, through immunization techniques, early diagnosis and vigorous treatment, and greater respect for the potential damaging powers of all infections. The prevention of traumatic neurological defects depends on home and school educational programmes, vehicle safety engineering, and greater respect for and compliance with existing safety regulations. Réasuméa Enquéte effectueé dans une institution sur 143 cas de paralysie cérébrale acquise Parmi les 1.283 cas de paralysie cérébrale diagnostiqués dans la Division des Enfants du ‘Institute of Physical Medicine and Rehabilitation’, 143 (11 pour cent) ont acquis leur infirmité neurologique après la période néonatale. Dans 46 pour cent des cas la paralysie cérébrale provenait d'une infection, dans 17 pour cent d'un traumatisme et dans 11 pour cent d'un accident cérébrovasculaire. Presque trois quarts du total avait le type spastique de déficience neuromotrice. Presque la moitié avait une quadriparésie. Tous les cas dûs à des accidents avaient une hémiparésie. Dans 41 pour cent du total les enfants étaient incapables de marcher; 35 pour cent étaient déficients dans un ou plusieurs domaines de la vie de tous les jours; 41 pour cent étaient retardés mentalement. Un tiers environ avait un défaut sensoriel, perceptuel et/ou visuel, et plus de la moitié avait des difficultés de langage. Il existe de nombreuses opportunités pour prévenir la paralysie cérébrale acquise. La prévention semble devoir être plus efficace dans les cas d'infection, de traumatisme, et les cas post‐chirurgicaux que dans les cas dûs à un accident cérébrovasculaire, une tumeur ou des crises. Les chances de prévention sont les plus élevées dans le domaine des infections du système nerveux central grâce aux techniques d'immunisation, à un diagnostic précoce suivi d'un traitement vigoureux et un plus grand respect de la puissance destructive de toutes les infections. La prévention des déficiences neurolo...

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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