TY - JOUR
T1 - Dyskinetic cerebral palsy in Europe: trends in prevalence and severity
AU - Himmelmann, K
AU - McManus, V
AU - Hagberg, G
AU - Uvebrant, P
AU - Kraegeloh-Mann, I
AU - Cans, C
AU - Dolk, Helen
AU - SCPE Collaboration, [Unknown]
PY - 2009
Y1 - 2009
N2 - 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
AB - 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
U2 - 10.1136/adc.2008.144014
DO - 10.1136/adc.2008.144014
M3 - Article
SN - 1468-2044
VL - 94
SP - 921
EP - 926
JO - Archives of disease in childhood
JF - Archives of disease in childhood
IS - 12
ER -
