[Parasagittal cerebral injury in perinatal asphyxia].
It is suggested that parasagittal cerebral injury in the asphyxiated full term infant may be common. However, parasagittal cerebral injury is rarely diagnosed in the neonatal period. It is said that cranial ultrasonography and CT scan are not useful to identify this lesion. Recently, it is considered that some of the intellectual deficits and behavioral problems in children at school age may have their origin in perinatal parasagittal cerebral injury. We described a patient with parasagittal cerebral injury demonstrated by CT scan. Infants with neurological abnormalities which include weakness or abnormal muscular tone of proximal upper limbs suggest parasagittal cerebral injury. CT scan obtained between 1 and 3 weeks of life is considered to be useful for the diagnosis. Early diagnosis and follow-up of parasagittal cerebral injury may lead to the understanding of frequency, prognosis and pathogenesis and to its prevention.
Yoneyama
H
H
Division of Child Neurology, National Center Hospital for Mental, Nervous and Muscular Disorders, Kodaira, Tokyo.
Yoshikawa
H
H
Suzuki
H
H
Okaniwa
M
M
Sakuragawa
N
N
D000293:Adolescent; D001238:Asphyxia Neonatorum / Q000150:complications*; D001921:Brain / Q000000981:diagnostic imaging*; D002545:Brain Ischemia / Q000000981:diagnostic imaging* / Q000209:etiology; D002648:Child; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D014057:Tomography, X-Ray Computed