Abstract
Three cases of athetoid cerebral palsy after hypoxic-ischaemic encephalopathy (HIE) are reported. All three neonates had haemorrhagic lesions in the basal ganglia and thalami on magnetic resonance imaging (MRI). Prior cranial ultrasound had detected the lesions in only two cases. In all three children athetoid movements began within the first year of life. Follow up MRI scans showed bilateral symmetrical cystic lesions in the posterior putamen. Although haemorrhagic lesions within the basal ganglia are a common MRI finding in neonates with HIE, few of these babies develop athetoid cerebral palsy. We believe this to be the first report of discrete cystic lesions found in the basal ganglia of children with athetoid cerebral palsy.
Publication types
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Case Reports
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Research Support, Non-U.S. Gov't
MeSH terms
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Basal Ganglia Diseases / diagnosis
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Basal Ganglia Diseases / epidemiology
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Basal Ganglia Diseases / etiology*
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Brain / diagnostic imaging
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Brain / pathology
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Brain Ischemia / complications*
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Brain Ischemia / diagnosis
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Brain Ischemia / epidemiology
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Cerebral Palsy / diagnosis
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Cerebral Palsy / epidemiology
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Cerebral Palsy / etiology*
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Cysts / diagnosis
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Cysts / epidemiology
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Cysts / etiology*
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Echoencephalography
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Female
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Humans
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Hypoxia, Brain / complications*
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Hypoxia, Brain / diagnosis
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Hypoxia, Brain / epidemiology
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Infant, Newborn
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Magnetic Resonance Imaging
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Male
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Prospective Studies
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Putamen* / diagnostic imaging
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Putamen* / pathology
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Thalamic Diseases / diagnosis
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Thalamic Diseases / epidemiology
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Thalamic Diseases / etiology
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Tomography, X-Ray Computed