{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T23:06:47Z","timestamp":1787785607072,"version":"build-2784847793"},"reference-count":18,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,11,21]]},"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:p>A middle childhood child with infantile hemiparesis is the subject of this case study. He has left-sided weakness and delays in both gross and fine motor milestones, particularly in the upper limb. The child\u2019s delayed cry and need for NICU admission, despite a full term and vaginal delivery, suggested perinatal hypoxia. The results of the MRI showed slight right lateral ventricular asymmetry and periventricular leukomalacia, which are signs of hypoxic-ischaemic encephalopathy. Clinical assessment revealed isolated motor impairment, hypertonia and elevated deep tendon reflexes. The start of physiotherapy was delayed due to the delayed diagnosis at middle childhood and the lack of early intervention. This case demonstrates the complexity of infantile hemiparesis and the importance of neuroimaging, physiotherapy and early identification in enhancing results. Timely developmental monitoring and parental education are crucial, as early detection and organised rehabilitation can greatly improve motor function, lessen impairment and improve the child\u2019s quality of life.<\/jats:p>","DOI":"10.1136\/bcr-2025-268850","type":"journal-article","created":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T01:35:20Z","timestamp":1765848920000},"page":"e268850","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Infantile hemiparesis secondary to periventricular leukomalacia: clinical findings and multidisciplinary rehabilitation outcomes"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-2186-1279","authenticated-orcid":false,"given":"Sakshi Ravindra","family":"Borkute","sequence":"first","affiliation":[{"name":"Neurophysiotherapy, Datta Meghe Institute of Higher Education and Research Deemed to be University, Wardha, Maharashtra, India"},{"name":"Neurophysiotherapy, Ravi Nair Physiotherapy College, Wardha, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-2926-5609","authenticated-orcid":false,"given":"Sharath","family":"Hullumani","sequence":"additional","affiliation":[{"name":"Paediatrics and Neonatal Physiotherapy, Datta Meghe Institute of Higher Education and Research Deemed to be University, Wardha, Maharashtra, India"},{"name":"Ravi Nair Physiotherapy College, Wardha, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2025,12,15]]},"reference":[{"key":"2025121517351261000_18.12.e268850.1","doi-asserted-by":"crossref","first-page":"651","DOI":"10.4103\/1735-3327.104890","article-title":"Infantile hemiplegia in pediatric dental set-up","volume":"9","author":"Syed","year":"2012","journal-title":"Dent Res J"},{"key":"2025121517351261000_18.12.e268850.2","article-title":"How Does the Cause of Infantile Hemiparesis Influence Other Conditioning Factors? 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