Dyskinetic cerebral palsy in Europe: trends in prevalence and severity
| Autor: | Vicki McManus, Christine Cans, Ingeborg Krägeloh-Mann, Paul Uvebrant, Kate Himmelmann, Gudrun Hagberg |
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| Rok vydání: | 2009 |
| Předmět: | |
| Zdroj: | Archives of Disease in Childhood. 94:921-926 |
| ISSN: | 1468-2044 0003-9888 |
| DOI: | 10.1136/adc.2008.144014 |
| Popis: | Objective: To describe the trends for and severity of dyskinetic cerebral palsy in a European collaborative study between cerebral palsy registers, the Surveillance of Cerebral Palsy in Europe (SCPE). Methods: The prevalence of dyskinetic cerebral palsy was calculated in children born in 1976–1996. Walking ability, accompanying impairments and perinatal adverse events were analysed. Results: 578 children had dyskinetic cerebral palsy, of whom 70% were born at term. The prevalence per 1000 live births increased from 0.08 in the 1970s to 0.14 in the 1990s. For the 386 children (70%) with a birth weight of ⩾2500 g, the increase was significant (0.05 to 0.12). There was a concurrent decrease in neonatal mortality among children with a birth weight of ⩾2500 g. Overall, 16% of the children walked without aids, 24% with aids and 59% needed a wheelchair. Severe learning disability was present in 52%, epilepsy in 51% and severe visual and hearing impairment in 19% and 6%, respectively. Accompanying impairments increased with motor severity. In children born in 1991–1996, perinatal adverse events, that is an Apgar score of Conclusions: The prevalence of dyskinetic cerebral palsy appears to have increased in children with a normal birth weight. They have frequently experienced perinatal adverse events. Most children have a severe motor impairment and several accompanying impairments. |
| Databáze: | OpenAIRE |
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