Cerebralna paraliza najčešći je uzrok trajnih i teških motoričkih oštećenja u djece. Smatra se posljedicom oštećenja nezrelog mozga ili mozga u razvoju. U terminske novorođenčadi etiologija je još i danas nedovoljno poznata i razlikuje se od etiologije CP-a u prijevremeno rođene djece. Prikazana je etiologija i rizični čimbenici za razvoj CP-a u terminske novorođenčadi rođene i/ili liječene u KBC-u Rijeka od 2002. do 2013. Udio terminske novorođenčadi u skupini djece sa CP-om iznosio je 40%, uz najvišu zastupljenost postnatalne etiologije od 47%, za razliku od drugih autora koji navode prenatalnu etiologiju vodećom. Razlog tome može biti i primjena suvremene klasifikacije i podjele CP-a. Intrapartalna etiologija nađena je u 18%, a prenatalna u 35% slučajeva. U djece s nepoznatom etiologijom nađeni su rizični čimbenici tijekom porođaja koji mogu upućivati na intrapartalnu etiologiju, čime bi se povećao njen udio u ukupnoj etiologiji CP-a. Radi eventualne prevencije potrebna su daljnja ciljana istraživanja o etiologiji CP-a u terminske novorođenčadi, služeći se jasnom klasifikacijom i definicijom CP-a. Ključne riječi: Cerebralna Paraliza; Postnatalno; Prenatalno; rizični čimbeniCi 1 zavod za dječju neurologiju i dječju psihijatriju Klinike za pedijatriju, KbC rijeka, referentni centar ministarstva zdravstva za epilepsije i konvulzivne bolesti razvojne dobi 2 medicinski fakultet sveučilišta u rijeci 3 odjel neonatologije, Klinika za ginekologiju i porodništvo, KbC rijeka 4 zavod za fizikalnu i rehabilitacijsku medicinu, KbC rijeka Adresa za dopisivanje:Cerebral palsy is the most common cause of permanent and severe motor impairment in children. It is considered as a consequence of damage to immature or developing brain. The aetiology in infants born at term is still mostly unknown and differs from the aetiology in premature infants. We present aetiology and risk factors for CP in infants born at term and/or treated at Rijeka University Hospital Centre from 2002 to 2013. Infants born at term comprised about 40% of the children with CP, with the highest contribution of postnatal aetiology (47%), unlike other authors who cite prenatal aetiology as the leading one. The modern definition and classification of CP may be the reason for this observation. Intrapartum aetiology was found in 18% and prenatal in 35% of cases. In children with undetermined aetiology, most risk factors were found during birth, which may indicate intrapartum aetiology, and thus the increase in the percentage of intrapartum aetiology in the overall aetiology of CP. Aiming at possible prevention, additional research into CP aetiology in infants born at term is required using clear definition and classification of CP.
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