Clinical and electroneuromyographic peculiarities of spastic syndrome in children with organic lesions of the nervous system

Topicality. Organic lesions of the central nervous system (CNS) are a group neuropsychiatric disorders caused by various pathological factors affecting brain. Infantile cerebral palsy (ICP) is most common neurological disease diagnosed in children at an early age. 80 % with ICP suffer from spastic forms, main symptom which abnormal increase muscle tone – spasticity. This syndrome can be objectified electroneuromyographic (ENMG) examination enables qualitative and quantitative assessments nervousmuscular state.Objective: to determine clinical peculiarities depending on intensity motor disorders.Materials methods. 122 were examined (an average age 8,8 ± 3,7 years) distributed into groups results Gross Motor Function Classification Expanded & Revised (GMFCS E&R). All patients underwent careful ENMG examination. To assess suprasegmental segmental levels lesions, parameters H-reflex F-wave analyzed.Results. Spastic forms majority children. Orthopedic pathology was found more often among marked disorders, including equinovalgus position planovalgus foot deformity. According presented conduction manifested increased amplitude М response, especially testing tibial nerve, Нmах/Мmах ratio amplitudes Н-reflex F-wave.Conclusions. conducted study, changed side deterioration degree activity Classification.