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Research Article| Volume 14, ISSUE 4, P239-244, July 1992

Visuo-perceptual impairment and cerebral lesions in spastic diplegia with preterm birth

  • Tatsuya Koeda
    Correspondence
    Correspondence address: Dr. Tatsuya Koeda, Division of Child Neurology, Institute of Neurological Sciences, Tottori University Faculty of Medicine, Nishimachi 86, Yonago 683, Japan.
    Affiliations
    Division of Child Neurology, Institute of Neurological Sciences, Tottori University Faculty of Medicine, Yonago
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  • Kenzo Takeshita
    Affiliations
    Division of Child Neurology, Institute of Neurological Sciences, Tottori University Faculty of Medicine, Yonago
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      Eighteen cases of spastic diplegia (SD) ranging in age from 5 year 4 month to 9 year 5 month with preterm birth were studied to clarify the relationship between visuo-perceptual impairment and their cerebral lesions. All underwent neuropsychological examinations including the Frostig developmental test of visual perception, Tanaka-Binet or Suzuki-Binet intelligence test, and MRI examination. Cerebral lesions were detected in all subjects, and the volume of the peritrigonal white matter of the parietal and occipital lobes was significantly correlated with the visuo-perceptual impairment (r = 0.74, in the axial plane; r = 0.64, in the coronal plane). We propose that visuo-perceptual impairment is caused by cerebral lesions and that the measurement of peritrigonal white matter by MRI is useful for detecting potential visuoperceptual impairment at an early age.

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