Hypoxic – Ishemic Spinal Cord Lesions in Cerebral Palsy: A Case Report


Objective: To investigate the alternative theory that perinatal hypoxia – ischemia affects brain circulation to the same amount as it affects spinal circulation, which challenges the prevalent view of cerebral palsy as a condition restricted by the brain.

Case Presentation: We discuss a 4-year-old boy who has lower paraplegia and delayed speech in this example. A clinical examination demonstrated enhanced bilateral muscular tone in the thigh adductors and gastrocnemius. Bilaterally, the iliopsoas muscle tone was decreased. According to electrophysiological analysis, motoneurons in the L 2–S 2 level are less excitable. MRI results at that level also showed spinal cord lesions in addition to brain abnormalities. MRI spinal angiography was used to identify a convoluted anterior spinal artery. The lower thoracic and first lumbar vertebrae of the patient underwent theophyllinum electrophoresis, which helped to improve his leg motor function. Discussion and Verdict Dr. Little, the first investigator of cerebral palsy, based his theory on a comprehensive postmortem study that he and his colleagues carried out. He reported that the cerebral palsy was brought on by a neonatal lesion to the brain or spinal cord, based on the information gathered during the section. However, the subsequent researcher on this disorder, Dr. Freud, focused exclusively on brain cuts for his pathlogoanatomic research, ignoring the spinal cord. However, our presentation illustrates how the spinal cord is involved in the development of cerebral palsy and the advantages of spinal therapy, supporting Little’s theory.

Author(s) Details:

Belenky Vadim,
Arsvita Clinic, Krasnoputilovskaya Street 125, St. Petersburg, Russia.

Kozireva Elena,
Custom Clinic, Moskovskii Avenue 141, St. Petersburg, Russia.

Plakhotina Nadezhda,
Dr. Berezin Medical Institute, 6th Sovetskaya Street, 24-26, St. Petersburg, Russia.

Skoromets Alexander,
Department of Neurology, Pavlov Medical University, Lev Tolstoy Street, 6-8, St. Petersburg, Russia.

Dugaev Pavel,
Dr. Berezin Medical Institute, 6th Sovetskaya Street, 24-26, St. Petersburg, Russia.

Leontiev Oleg,
Nikiforov Centre of Urgent and Radiologic Medicine, Lebedev Street 4/2. St. Petersburg, Russia.

Please see the link here: https://stm.bookpi.org/CPMS-V11/article/view/8035

Keywords: Cerebral palsy, anterior spinal artery, spastic diplegia, adamkiewicz artery

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