The Indian Journal of Pediatrics

, Volume 52, Issue 1, pp 47–52 | Cite as

Infantile hemiplegia: clinical, electroencephalographic and computerised tomography study

  • P. P. Ashok
  • K. Radhkrishnan
  • R. Sridharan
  • M. E. Mousa
Original Articles


Thirty-one patients with post-neonatally acquired infantile hemiplegia were assessed clinically, electroencephalographically and by CT scan. The mean age of onset of illness and when first seen in the neurology clinic were 20·2±20·1 months and 16·8±8·4 yr, respectively. Epilepsy was seen in 74 per cent of cases and mental retardation in 70 percent. Among patients with epilepsy, the EEG and CT scan were abnormal in 83 per cent and 87 per cent respectively. There was a positive correlation between an abnormal EEG and CT scan in 84 per cent of cases. The cause of hemiplegia could be clinically determined in only eight cases (26%). However, the CT scan showed abnormalities like cortical atrophy and porencephalic cyst, suggestive of a vascular or inflammatory aetiology in 68 per cent. The usefulness of CT in determining the aetiology in acquired infantile hemiplegia, especially when seen many years after the onset of illness is, emphasized.

Key words

Infantile hemiplegia CT scan EEG 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Brett EM:Pediatric neurology. Churchill Livingstone, Edinburgh, 1983Google Scholar
  2. 2.
    Lademann A: Postneonatally acquired cerebral palsy.Acta Neurol Scandinav 57: 65, 1978CrossRefGoogle Scholar
  3. 3.
    Gastaut H, Vigouraux M, Trevisan C, Regis H: Le syndrome hemiconvulsion-hemiplegia epliepsis (Syndrome HHE).Rev Neurol 97: 37, 1957PubMedGoogle Scholar
  4. 4.
    Von Strumpell A: Uber die akute encephalitis der kinder.Jb Kinderheilk 22: 173, 1885Google Scholar
  5. 5.
    Osler W:The cerebral palsies of children. Blakiston, Philadelphia, 1889Google Scholar
  6. 6.
    Ford FR, Schaffer AS: The etiology of infantile acquire hemiplegia.Arch Neurol Psychiat 18: 323, 1927Google Scholar
  7. 7.
    Perlstein MA, Hood PN: Etiology of postneonatally acquired cerebral palsy.JAMA 188: 850, 1964PubMedGoogle Scholar
  8. 8.
    Swinyard CA, Swenson J, Greenspan L: An institutional survey of 143 cases acquired cerebral palsy.Develop Med Child Neurol 5: 615, 1963PubMedCrossRefGoogle Scholar
  9. 9.
    Crothers B, Paine RS:The natural history of cerebral palsy. Harvard University Press, Cambridge, 1959Google Scholar
  10. 10.
    Ingram TTS:Pediatric aspects of cerebral palsy. Churchill Livingstone, Edinburgh, 1964Google Scholar
  11. 11.
    Kiloh LG, McComas AJ, Osselton JW, Upton ARM:Clinical Electroencephalography. Butterworths, London, 1981Google Scholar
  12. 12.
    LeCount ER, Semerak CB: Porencephaly.Arch Neurol 14: 365, 1925Google Scholar
  13. 13.
    Baef RW: Clinical features of porencephaly.Arch Neurol Psychiatry 80: 133, 1958Google Scholar
  14. 14.
    Freeman JM, Gold AP: Porencephaly simulating subdural haematoma in childhood.Am J Dis Child 107: 327, 1964PubMedGoogle Scholar

Copyright information

© Dr. K C Chaudhuri Foundation 1985

Authors and Affiliations

  • P. P. Ashok
    • 2
  • K. Radhkrishnan
    • 2
  • R. Sridharan
    • 2
  • M. E. Mousa
    • 1
  1. 1.Department of Neurology, Faculty of MedicineUniversity of GaryounisBenghaziLibya
  2. 2.Department of Medicine, Faculty of MedicineUniversity of GaryounisBenghaziLibya

Personalised recommendations