No abstract

No abstract

Background. Nervous system diseases and neurodevelopmental disorders are detected in children of preschool and school age approximately thrice as frequently as nervous system disorders in neonates. To investigate this dynamic, we admitted the necessity of standard neurological assessment of children in the interim period, that is at the age of 3–4 years old.Objective. The aim of the present research is practical testing of standard neurological assessment method for children at the approximate age of 3.5 years old.Design and methods. We studied neurological status characteristics in 26 low-risk children at the age 31–48 months with the adapted standard Neurological Profile of B. C. L. Touwen.Results. It is shown that in neurological status of children of the specified age, qualified as «neurologically healthy», not less than two deviations from optimal values were detected. The most common deviations were impaired sitting up from supine position, reduction of reaction to push in sitting position and passive muscle tone changes. The average neurological profile for these children was received. The detected neurological status deviations have correlation with speech development disorders (speech development milestones and phrase speech) (r = 0.69–0.74). At the same time, we noted dissociation between values of some neurological functions and development, and that may suggest individual of development.Conclusion. Comparison of neurological morbidity in neonatal period and in early preschool age, data about influence of neurological deviations at the approximate age of 3.5 years old on the future cognitive and behavioral disorders, as well as the findings obtained in the present research about prevalence and character of individual deviations in low-risk children, may suggest a probable mechanism of neurological, cognitive, and behavioral disorders increase in elder children.

Child strokes cause persistent neurologic impairment affecting on quality of life. Prophylaxis cerebral infarction in children promoted by Identification of factors influencing on development of ischemic stroke. 47 children with arterial ischemic stroke confirmed by MRI or CT was enrolled in cohort study. All children has focal neurological symptomatic which was assessed by pedNIHSS, PSOM, British muscular strength scale. General cerebral symptoms precede focal neurologic impairments in 67% cases. Fact of head trauma was documented in 55% observed children. Seizures occurs in 24% cases in acute period ischemic stroke. As major part of children had lacunar infarction in middle cerebral artery origin, so motor dysfunctions was admitted in clinical curse of general cases. By neuroimaging data we defined lacunar infarctions mainly in basal ganglia, thalamus and internal capsule. In the rest 5 cases - in cortex, white matter, frontal, parietal and occipital lobes, cerebellum and brain stem. In 10 children during observation over time the secondary haemorrhage at ischaemic site was detected. Besides post-ischemic alterations additional structural features was assessed in neuroimaging study. Calcification in white mater of brain was reviled in one third children with ischemic stroke (33,4%). Overwhelming majority calcifications in white mater of brain was diagnosed in lenticular-striatal arteries infarctions. Latent factors structure influenced on severity neurologic outcomes was received by partial least square method (PLS). Acquired data emphasize importance of mind depression, vertigo, dysphagia as poor outcome predictors.