67. 關於兒童腦性麻痺，下列何種原因是導致雙側下肢麻痺型 (diplegia) 最常見的原因？
(A)先天性巨細胞病毒感染 (congenital cytomegalovirus infection)。
(B)新生兒溶血性黃膽 (neonatal hemolytic jaundice)。
(C)新生兒腦梗塞 (neonatal cerebral infarction)。
(D)腦室旁白質軟化症 (periventricular leukomalacia)。
(E)週產期窒息 (perinatal asphyxia)。

答案：登入後查看
統計： A(3), B(1), C(4), D(28), E(1) #1125774

詳解 (共 1 筆)

#1390462
Classfication of cerebral palsy and major causes
MOTOR SYNDROME (APPROX. % OF CP) NEUROPATHOLOGY/MRI MAJOR CAUSES
Spastic diplegia(35%) Periventricular leukomalacia
Periventricular cysts or scars in white matter,
enlargement of ventricles, squared off posterior ventricles		 Prematurity
IschemiaInfection
Endocrine/metabolic (e.g., thyroid)
Spastic quadriplegia (20%) Periventricular leukomalacia
Multicystic encephalomalacia
Cortical malformations		 Ischemia, infection
Endocrine/metabolic, genetic/developmental
Hemiplegia (25%) Stroke: in utero or neonatal
Focal infarct or cortical, subcortical damage
Cortical malformations		 Thrombophilic disordersInfection
Genetic/developmental
Periventricular hemorrhagic infarction
Extrapyramidal (athetoid, dyskinetic) (15%) Asphyxia: symmetric scars in putamen and thalamus
Kernicterus: scars in globus pallidus, hippocampus
Mitochondrial: scaring globus pallidus, caudate,
putamen, brainstem
No lesions: ? dopa-responsive dystonia		 Asphyxia
Kernicterus
Mitochondrial
Genetic/metabolic
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