Peculiarities of somatic pathology in children with cerebral palsy (literature review)

S.L. Nyankovsky, A.I. Pushnyk, O.V. Kuksenko

Abstract


Cerebral palsy remains one of the most topical problems of pediatric neurology and causes of childhood disability. This term includes group of syndromes that result from violations of or damage to the central nervous system. The incidence of cerebral palsy does not tend to decrease due to such factors, as the improvement of nursing methods and reduced mortality of prematurely born babies and infants with extremely low birth weight. The most common forms of cerebral palsy are spastic forms: spastic diplegia, spastic hemiparesis, double hemiplegia. Their share is 80–85 % of all cases of cerebral palsy. According to available data, children with cerebral palsy suffer from impairments of somatic health, physical development and regulatory mechanisms. The rehabilitation effectiveness of such children often depends on their rehabilitation potential, which depends on concomitant somatic pathology and functional disorders. It was found that anemia had a 3.6 times higher rate in children with spastic forms of cerebral palsy than in their healthy peers, rachitis — 2.9 times more higher, malnutrition — 12.8 times more higher. Among children with cerebral palsy, a group of frequently and chronically ill children included 5.6 times more children than comparison group. Chronic adenoiditis, rhinitis, otitis in children with cerebral palsy were diagnosed 6.5 times more often than in the comparison group. Cerebral palsy is a complicated, multicomponent problem, in the development of pathogenic mechanisms of which, somatic pathology plays a prominent role that suggests the need for multidisciplinary approach to the treatment, involving medical experts of different specialties.


Keywords


cerebral palsy; children; somatic pathology; review

References


Amato M, Donati F. Update on perinatal hypoxic insult: mechanism, diagnosis and interventions. Paediatr Neurol. 2000;4(5):203-209. PMID: 11030066. doi: 10.1053/ejpn.2000.0307.

Anigilaje EA, Bitto TT. Prevalence and predictors of urinary tract infections among children with cerebral palsy in Makundi, Nigeria. Open Journal of Pediatrics 2013;3:350-357. doi: 10.4236/ojped.2013.34063.

Arvedson J, Rogers B, Buck G, Smart P, Msall M. Silent aspiration prominent in children with dysphagia. Int J Pediatr Otorhinolaryngol. 1994;28(2-3):173-181. PMID: 8157416.

Asinobi AO, Fatunde OJ, Brown BJ, Osinusi K, Fasina NA. Urinary tract infection in febrile children with sickle cell anemia in Ibadan, Nigeria. Annals of Tropical Paediatrics. 2003;23:129-134. PMID: 12803742. doi: 10.1179/027249303235002198.

Barashnev JuI. Clinical and morphological characteristics and outcomes of cerebral disorders with hypoxic-ischemic encephalopathy. Akusherstvo i ginekologija. 2009;5:39-42 (in Russian).

Blanco OFS, Aristizabal DS, Pineda AM et al. Clinical and videofluoroscopic characteristics of oropharyngeal dysphagia in children between one month and five years of age. Iatreia. 2008;21:13-20 (in Spanish). LILACS: 506598 [Identificador unico].

Borzyskowski M. Neuropathic bladder: identification, investigation and management. Webb N, Postlethwaite R, editors. Clinical paediatric nephrology. 3rd ed. Oxford: Oxford University Press; 2003. 509 p.

Bross S, Pomer S, Doderlein L, Knoll T, Michel MS, Staehler G, Gerner HJ, Alken P. Urodynamic findings in patients with infantile cerebral palsy. Aktuelle Urologie. 2004;35:54-57. doi: 10.1055/s-2003-812521. PMID: 14997416.

Decter RM, Bauer SB, Khoshbin, Dyro FM, Krarup C, Colodny AH et al. Urodynamic assessment of children with cerebral palsy. J Urol. 1987;138:1110-2. PMID: 3656569.

Delialioglu SU, Culha C, Tunc H, Kurt M, Ozel S, Atan A. Evalaution of lower urinary system symptoms and neurogenic bladder in children with cerebral palsy: relationships with the severity of cerebral palsy and mental status. Turk J Med Sci. 2009;39(4):571-578. doi:10.3906/sag-0809-46.

Erasmus CE, van Hulst K, Rotteveel JJ, Willemsen MAAP, Jongerius P H. Clinical practice: swallowing problems in cerebral palsy. Eur J Pediatr. 2012;171(3):409-414. PMID: 21932013. doi:10.1007/s00431-011-1570-y.

Evstigneeva OV, Balykin MV. Age features of physical development and functional state of the cardio-respiratory system of children with mild cerebral palsy. Vestnik novyh medicinskih tehnologij. 2009;16(2):185-188 (in Russian).

Fahimzad A, Babaie D, Ghoroubi J, Zahed GH, Rafieli T. Common infections among disabled children admitted to hospital. Archives of Pediatric Infectious Diseases. 2013;1:54-57. doi:10.5812/pedinfect.9075.

Lagos-Guimarães HN, Teive HA, Celli A. Aspiration Pneumonia in Children with Cerebral Palsy after Videofluoroscopic Swallowing Study. Int Arch Otorhinolaryngol. 2016 Apr;20(2):132-7. doi: 10.1055/s-0035-1566093. Epub 2015 Oct 20.

Folkerth RD. Periventricular leukomalacia: overview and recent findings. Pediatr Dev Pathol. 2009;1:3-13. PMID: 16808630. doi:10.2350/06-01-0024.1.

Fyl’kyna OM et al. Features of the health status of children, born with very low and extremely low birth weight, in the first year of life. Detskaja medicina Severo-Zapada. 2011;2(3):18-21 (in Russian).

Gajnetdinova DD, Gajsina LZ, Hakimova RF. Clinico-immunologic and cytogenic aspects of pathogenesis in spastic infantile cerebral paralysis. Medicinskaja immunologija. 2012;14(6):507-512 (in Russian).

Gangil A, Parwati AK, Bajaj P, Kashyap R, Anand VK. Gastroesophageal disease in children with cerebral palsy. Indian Pediatrics. 2001;38:776-770. PMID: 11463964.

Gangil A, Patwari A, Aneja S et al. Feeding problems in children with cerebral palsy. Indian Pediatrics. 2001;38:839-846. PMID: 11520994.

Gordeeva NV, Vorob’eva EA, Fyl’kyna OM, Dolotova NV, Nazarov SB. Somatic pathology and some biochemical parameters in children of early age with spastic forms of cerebral paralysis. Vestnik Ivanovskoj medicinskoj akademii. 2015;20(1):27-29 (in Russian).

Gromada NE. Immunologicheskie i strukturno-metabolicheskie narushenija u donoshennyh detej s gipoksicheskim perinatal’nym porazheniem central’noj nervnoj sistemy, prognozirovanie ishodov i optimizacija lechenija: avtoref. dis. na soiskanie uch. stepeni dokt.med.nauk [Immunologic, structural and metabolic disorders in full-term infants with perinatal hypoxic impairment of the central nervous system, forecasting and optimization of treatment outcome]. Ekaterinburg: Ural’skaja gosudarstvennaja medicinskaja akademija; 2009. 340 p. (in Russian).

Hashimoto K, Haseqawa H, Kida Y, Takeuchi Y. Correlation between neuroimaging and neurological outcome in periventricular leukomalacia: diagnostic criteria. Pediatr Int. 2001;43(3):240-245. PMID: 11380916.

Hughes I, Newton R. Genetic aspects of cerebral palsy. Dev Med Child Neurol. 1992;34(1):80-6. PMID: 1544520.

Human Development Institute, University of Kentucky. Available from: www.medical.phtmodules.net. Accessed: 2002.

Jacobsson B, Hagberg G. Antenatal risk factors for cerebral palsy. Obstet Gynaecol. 2004;3:25-36. PMID: 15183137. doi:10/1016/j.bpobgyn.2004.02.011.

Jan MMS. Cerebral Palsy: Comprehensive Review and Update. Ann Saudi Med. 2006;26(2):123-132. PMID: 16761450.

Jacenko KV. Cerebral palsy: etiopathogenesis, clinical and neurophysiological aspects and opportunities of neurological rehabilitation. Ukraїns’kij nevrologіchnij zhurnal. 2015;2:19-24 (in Ukrainian).

Karaman MI, Kaya C, Caskurlu T, Guney S, Ergenekon E. Urodynamic findings in children with cerebral palsy. Int J Urol. 2005;12:717-20. PMID: 16174044. doi:10.1111/j.1442-2042.2005.01120.x.

Korenjuk OS. Pecularities of enteral nutrition of children with severe neurological disorders. Aktual’nі pitannja pedіatrії, akusherstva ta gіnekologії. 2013;2:25-27 (in Ukrainian).

Krigger KW. Cerebral Palsy: An Overview. American Family Physician. 2006;73(1):91-100. PMID: 16417071.

Kubrak RM. Optimizing the functional activity of cardiorespiratory system in children with cerebral palsy. Fіzichna, medichna ta psihіchna reabіlіtacіja ljudej z іnvalіdnіstju. 2013;4:295-304 (in Ukrainian).

Lagos-Gimaraes HN, Ghizoni Teive HA, Celli A, Sampaio Santos R, da Silva Abdulmassih EM, Hirata GG, Friedrich Callinea L. Aspiration pneumonia in children with cerebral palsy after videofluoroscopic swallowing study. Int Arch Otorhinolaryngol. 2016;20(2):132-137. doi: 10.1055/s-0035-1566093.

Musa-Aisien AS, Ibadin MO, Ukoh G, Akpede GO. Prevalence and antimicrobial sensitivity pattern in urinary tract infection in febrile under-5s at a children’s emergency unit in Nigeria. Annals of Tropical Paediatrics. 2003;23:39-45. PMID: 12648323. doi:10.1179/000349803115002850.

Nemkova SA, Namazova-Baranova LS, Maslova OI, Zavadenko NN, Holin AA, Karkashadze GA, Mamed’jarov AM, Nesterovskij JuE, Govorun SV. Detskij cerebral’nyj paralich: diagnostika i korrekcija kognitivnyh narushenij [Cerebral Palsy: Diagnostics and correction of cognitive impairment]. Moscow: Sojuz pediatrov Rossii; 2012. 60 p. (in Russian).

Njan’kovs’kyj SL, Kozubenko GF, Pakulova-Troc’ka JuV. Pecularities of somatic pathology in children with perinatal hypoxic-ischemic impairment of central nervous system. Zdorov’e rebenka. 2007;1(4):43-47 (in Ukrainian).

Njan’kovs’kyj SL, Pakulova-Troc’ka JuV, Kozubenko GF. Features of the nutritional status of young children with cerebral palsy. Zdorov’e rebenka. 2010;2(23):48-51 (in Ukrainian).

Okunola PO, Ibadin MO, Ofovwe GE, Ukoh G. Co-existense of urinary infection and malaria among under five years old: A report from Benin city, Nigeria. Saudi Journal of Kidney Disease and Transplantation. 2012;23:629-634. PMID: 22569460.

Ozturk M, Oktem F, Kisioglu N et al. Bladder and bowel control in children with cerebral palsy: case-control study. Croat Med J. 2006;47(2):264-270. PMCID: PMC2080400.

Pil’kevych NB, Nizhel’s’kyj VJe, Pil’kevych OA, Reshetnjak AO, Sterioni IV. Effect of hypoxic conditions in terms of changes in the homeostasis of newborns. Bulletin of the National University of Luhansk. 2013;2(19):105-110 (in Ukrainian).

Reyes AL, Cash AT, Green SH, Booth IW. Gastroesophageal reflux in children with cerebral palsy. Child Care. Hlth Dev. 1993;19:109-118. doi:10.1111/j.1365-2214.1993.tb00718.x.

Rogers B, Arvedson J, Buck G, Smart P, Msall M. Chracteristics of dysphagia in children with cerebral palsy. Dysphagia. 1994;9(1):69-73. PMID: 8131428.

Roijen LE, Postema K, Limbeek VJ, Kuppevelt VH. Development of bladder control in children and adolescents with cerebral palsy. Dev Med Child Neurol. 2001;43:103-7. PMID: 11221896.

Silva JA, Gonsalves M de C, Saverio AP, Oliveira IC, Carrerette FB, Damiao R. Lower urinary tract dysfunction and ultrasound assessment of bladder wall thickness in children with cerebral palsy. Urology. 2010;76(4):942-945. PMID: 20579700. doi:10.1016/j.urology.2010.04.005.

Starosvetova E, Razumov S, Skuchalina L, Aishanova R. Characteristics of pneumonia in children with cerebral palsy. The FASB Journal. 2015;29(1):Supplement LB 739.

The Royal Children’s Hospital Melbourne. Clinical Practice Guidelines. Available from: www.rch.org.au. Accessed: October 2011.

Weir K, McMahon S, Barry L, Ware R, Masters IB, Chang AB. Oropharyngeal aspiration and pneumonia in children. Pediatr Pulmonol. 2007;42(11):1024-1031. PMID: 17893917. doi:10.1002/ppul.20687.




DOI: https://doi.org/10.22141/2224-0551.12.1.2017.95027

Refbacks

  • There are currently no refbacks.


Copyright (c) 2017 CHILD`S HEALTH

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

 

© Publishing House Zaslavsky, 1997-2017

 

 Яндекс.МетрикаSeo анализ сайта Рейтинг@Mail.ru