Unilateral Cerebral Events In Neonates (diagnostic and Treatment)

Perinatal unilateral insults can be caused by ischemic stroke, hemorrhagic stroke (arterial or venous), unilateral III-IV grade ventricular bleeding, and venous thrombosis. A severe hypoxic episode often accompanies these cerebral insults. Hemiparesis is a common symptom caused by this damage. Hemiparesis is characterized by a difference in muscle tone and usage of the affected limb with a late appearance, typically during the 4th or 6th month of the infant's life. The results obtained in the groups of lesions by middle cerebral arteries showed in the outcome after treatment that 37% had a severe hemiparesis. This result is better than the outcome referred in the literature. Patients treated with parenchymal bleeding also showed better outcomes than the natural outcome: only 12 % of the treated patients showed a severe outcome vs. 68% observed in the natural outcome. These results suggested that during the development of abnormal symptoms early, regular neurotherapy can influence the outcome. Neurotherapy can decrease the severity of hemiparesis and, in some cases, prevent their appearance. In a high percentage of cases where treatment is needed, good results can be achieved by a personalized and symptom-specific, intensive and structural neurotherapy based on an early, thorough examination, a correct diagnosis, and regular (monthly) follow-ups.. No therapy was initiated when functional deviation was not found. Infants who "only" had motor symptoms were given treatment that facilitated bilateral symmetrical movements. Patients with ischemic/hemorrhagic insults and severe hypoxia received the complete Katona's neurotherapy supplemented -if necessary- with anticonvulsive drugs.