关键词: 偏瘫; 急性; 儿童; 病因

Abstract: Objective To investgate the etiology of acute hemiplegia in childhood.Methods We did the retrospective research of the concomitant symptoms of 31 in hospital children with acute hemiplegia from Jan. 2007 to Dec. 2009 to find the relation between the cause and the symptoms. Among these patients, there were 5 infants, 12 toddlers, 4 children between 3 to 5 years, 10 children between 10 to 16 years old.Results The etiology varied, 9 patients suffered from central nervous system infections, 4 of them were babies; 4 brain vascular malformations, 3 toddlers; 2 patients had acute brain infarct after minor head injury; 5 inborn metabolic diseases and all were older than 10 years old; 4 hemiconvulsion-hemiplegia/hemiconvulsion-hemiplegia-epilepsy syndrome(HH/HHE); 2 alternating hemiplegia of childhood.Conclusions Lots of diseases can cause acute hemiplegia of childhood, in infants and toddlers, brain infections were the most common cause, and were less common in older children. Acute brain infarcts and brain vascular malfunction were not uncommon in toddler and preschool child with acute hemiplegia. Inborn metabolic errors were causes of acute hemiplegia in elder children.

Key words: Hemiplegia; acute; Children; Etiology