Çocuk Sağlığı ve Hastalıkları Dergisi 2005 , Vol 48 , Num 2
Evaluation of visual problems in patients with cerebral palsy according to functional capacity
Özgür Duman1, Filiz Müftüoğlu İmad2, Ferah Kızılay3, İclal Yücel4, Sevin Balkan5, Şenay Haspolat6
1Akdeniz Üniversitesi Tıp Fakültesi Pediatri Uzmanı
2Akdeniz Üniversitesi Tıp Fakültesi Oftalmoloji Araştırma Görevlisi
3Akdeniz Üniversitesi Tıp Fakültesi Nöroloji Uzmanı
4Akdeniz Üniversitesi Tıp Fakültesi Oftalmoloji Profesörü
5Akdeniz Üniversitesi Tıp Fakültesi Nöroloji Profesörü
6Akdeniz Üniversitesi Tıp Fakültesi Pediatri Doçenti
Duman O, İmad FM, Kızılay F, Yücel İ, Balkan S, Haspolat Ş. (Department of Pediatrics Akdeniz University Faculty of Medicine, Antalya, Turkey). Evaluation of visual problems in patients with cerebral palsy according to functional capacity. Çocuk Sağlığı ve Hastalıkları 2005; 48: 130-135.

Cerebral palsy (CP) describes movement and posture disorders that developg after nonepisodic and nonprogressive lesion of the immature brain. Its frequency has increased, especially in the last 20 years, due to success in decreasing mortality and morbidity of the premature newborn. Twenty-five boy and 15 girl CP patients, aged 7.5 months to 15 years, were enrolled in the study. They were classified according to ability to perform normal activity and degree of severity. We determined ophthalmologic problems in 90% of the patients. Of these, 62.5% had refraction problem, 60% had strabismus, 22.5% had optic disc problems, 5% had nystagmus and 32.5% had amblyoia. Visual evoked potential responses were abnormal in 37.5% of the patients, and cranial radiologic examinations determined visual pathway lesions in 50%. Hypoxic ischemic encephalopathy was the major (45%) etiologic factor; we could not determine any etiology in 20% of the patients. Of the CP patients, 75% had spastic type, 5% ataxic type, 5% hypotonic type and 15% mixed cerebral palsy. A high rate of visual problems were determined in the patients with cerebral palsy. Periodic ophthalmologic examinations, visual evoked potentials and cranial radiologic examinations are useful tests for clinical follow-up of these patients. Anahtar Kelimeler : serebral palsi, göz, spastisite, uyarılmış potansiyaller, cerebral palsy, eye, spasticity, evoked potentials

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