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Infantile Zerebralparese

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Infantile Zerebralparese

Zusammenfassung

Der Sammelbegriff der infantilen Zerebralparese beschreibt eine Störung von Haltung und Bewegung sowie von psychischen und vegetativen Funktionen, die infolge einer dauerhaften Schädigung des unreifen Gehirnes entsteht. Das Ausmaß der zentralen Schädigung, aber auch Wachstums- und Entwicklungseinflüsse bestimmen das jeweilige Schädigungsbild, das sich trotz des dauerhaften bzw. nicht fortschreitenden Schadens am zentralen Nervensystem ständig ändern kann. Daraus ergibt sich die große Bedeutung einer sorgfältigen und umfassenden Diagnostik und regelmäßiger Kontrolluntersuchungen. Wegen der vielen Teilbereiche, die durch den zentralen Schaden in Mitleidenschaft gezogen sein können, ist ein multiprofessioneller Ansatz der Versorgung ratsam. Die Veränderungen am Haltungs- und Bewegungsapparat nehmen besonders in der Zeit des Wachstums eine zentrale Rolle im Gesamtbild der Behinderung ein. Da eine Heilung wegen des unveränderlichen Hirnschadens nicht möglich ist, besteht die hohe intellektuelle Herausforderung an die Behandler darin, das individuell günstigste Ziel zu definieren und die Wege dorthin festzulegen. Diese Ziele können mit dem weiteren Wachstum des Patienten wechseln und sind dann entsprechend anzupassen. Der Patient sollte keinesfalls aus fehlverstandenem „Mitgefühl“ ohne jede Maßnahme seinem weiteren Schicksal ausgeliefert werden, da der natürliche Verlauf der Störung besonders bei allen stärker Betroffenen unweigerlich zum Funktionsverlust führt.

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    Leonhard Döderlein

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Döderlein, L. (2015). Infantile Zerebralparese. In: Infantile Zerebralparese. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-35319-2_4

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