The purpose of this study was to describe clinical presentation, epilepsy, EEG, extent and site of the underlying cerebral lesion with special reference towards aetiologic background factors in a population-based group of children with hemiplegic cerebral palsy. Forty-seven children of school- age, fulfilling the SPCE (Surveillance of Cerebral palsy in Europe)-criteria of hemiplegic cerebral palsy, identified via the Swedish cerebral palsy register, were invited and asked to participate in the study. Fifteen boys and six girls participated. Of the sixteen children born at term, five had no risk factors for cerebral palsy. Two out of five preterm children presented additional risk factors. Debut of motor impairment was observed in the first year of life in sixteen children. Age at diagnosis varied from 2 months to 6 years. Epilepsy was common and associated with grey- and white matter injury. Recognizing the importance of risk factors for cerebral palsy, any child with these risk factors should be offered a check-up by a paediatrician or a paediatric neurologist. Thereby reducing diagnostic delay. Epilepsy is common in hemiplegic cerebral palsy and associated with grey- and white matter injury in this cohort.

中文翻译：

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斯德哥尔摩北部偏瘫（单侧）脑瘫：临床评估，脑成像，脑电图，癫痫和病因背景因素

这项研究的目的是描述偏瘫性脑瘫患儿的病因背景因素的临床表现，癫痫，脑电图，潜在脑病变的程度和部位，并特别参考病因背景因素。通过瑞典脑瘫登记簿确定的符合SPCE（欧洲脑瘫监测）-偏瘫性脑瘫标准的47个学龄儿童被邀请并被要求参加研究。十五个男孩和六个女孩参加了比赛。在足月出生的16名儿童中，有5名没有脑瘫的危险因素。五分之二的早产儿存在其他危险因素。在16岁的儿童中，第一年就发现了运动障碍的首次出现。诊断时的年龄从2个月到6岁不等。癫痫病很常见，并伴有灰色和白色物质损伤。认识到脑瘫危险因素的重要性，任何有这些危险因素的孩子都应由儿科医生或儿科神经科医生进行检查。从而减少诊断延迟。癫痫在偏瘫性脑瘫中很常见，并且在该队列中伴有灰色和白色物质损伤。