Dyskinetic cerebral palsy in Europe: trends in prevalence and severity

K Himmelmann, V McManus, G Hagberg, P Uvebrant, I Kraegeloh-Mann, C Cans, Helen Dolk, [Unknown] SCPE Collaboration

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    Abstract

    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
    Original languageEnglish
    Pages (from-to)921-926
    JournalArchives of disease in childhood
    Volume94
    Issue number12
    DOIs
    Publication statusPublished - 2009

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    Himmelmann, K., McManus, V., Hagberg, G., Uvebrant, P., Kraegeloh-Mann, I., Cans, C., ... SCPE Collaboration, U. (2009). Dyskinetic cerebral palsy in Europe: trends in prevalence and severity. Archives of disease in childhood, 94(12), 921-926. https://doi.org/10.1136/adc.2008.144014