Birthweight specific trends in cerebral palsy.

Pharoah, P. O. D.; Cooke, Theresa; Cooke, Richard; Rosenbloom, Lewis

doi:10.1136/adc.65.6.602

Cited by 216 publications

(87 citation statements)

References 25 publications

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“…As Kapoor et al and others also found no association with the parental age. 6,7,10,12 As per their living area no specific pattern of CP with rural 27(58.69%) or urban 19 (41.31%) background was found in review of literature.…”

Section: Discussionmentioning

confidence: 99%

“…17 This is in contrast to a couple of other studies which have shown significant association between LSCS and cerebral palsy. 7,19 There was significant history of prolonged labour in 9 (19.56%) and birth asphyxia was 31 (67.39%) patients. Torfs et al, Blair et al, Sharma et al, Suanand et al and others found similar higher risk up to 53 % of CP in Birth asphyxia.…”

Section: Discussionmentioning

confidence: 99%

“…Similar male preponderance has been reported earlier in so many other studies also. 2,6,7,[9][10][11][12] Maximum numbers of patients at presentation were in the age group of 1-3 years in both sexes. Mean age of 2.04±1.53 years was observed in males and 3.67±3.14 years in females with an overall mean age of 2.39±2.04 years among all patients.…”

Section: Discussionmentioning

confidence: 99%

“…[2][3][4][5] Modern improved obstetric and advanced prenatal care has resulted in increased survival of low birth weight babies and is associated with an increased proportion of cerebral palsy in these babies. [2][3][4][5][6][7][8] Etiology of cerebral palsy has been reported to be prenatal in 7-50%, natal in 33-60% and postnatal in 26-45% cases. 4,5…”

Section: Introductionmentioning

confidence: 99%

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A clinico-epidemiological study of cerebral palsy in western Rajasthan

Makwana¹,

Mourya²,

Mourya³

et al. 2017

Int J Contemp Pediatr

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INTRODUCTIONCerebral palsy (CP) is one of the leading causes of disability in children. Incidence of cerebral palsy varies from one to six per thousand live births. Besides handicapping a child, it causes considerable psychological and social trauma to the parents and financial burden to family and community. A cure for cerebral palsy (CP) has not yet been discovered, hence, a ABSTRACT Background: Cerebral palsy (CP) is one of the leading causes of disability in children. Incidence of cerebral palsy varies from one to six per thousand live births. Besides handicapping a child, it causes considerable psychological and social trauma to the parents and financial burden to family and community. A cure for cerebral palsy (CP) has not yet been discovered, hence, a need for primary prevention of disease. But unfortunately, the etiology of cerebral palsy is poorly understood thereby eluding a definitive prevention strategy. Methods: All cases of non-progressive neurological disorder in the age group of 0-9 years were enrolled in the present study. Thorough and complete Obstetric history including antenatal, natal and post-natal were recorded. Woodside scale is used for assessment of neurodevelopment and a complete anthropometric measurement, physical examination including detailed Central Nervous System and all neuroimaging and EEG were recorded. Severity of cerebral palsy was assessed according to Minear's classification. Statistical analysis was done by standard statistical methods. Results: Majority of patients were males (78.26%) as compared to females. The mean age of male patients was 2.04±1.53 years and females was 3.67±3.14 years. Spastic type of CP was most common (93.47%), followed by mixed (4.34%) and atonic (2.17%) type. Quadriplegic CP was the most common (76.75%), followed by diplegia (11.62%) amongst the spastic variety. Risk factors found are maternal pyrexia (17.39%), home vaginal delivery (58.70%), birth asphyxia (67.39%), Neonatal seizures (39.13%) other factors being icterus neonatorum (13.04%) and meconium aspiration syndrome (13.04%), ICH (10.86%), septicemia (8.69%) and renal failure (4.34%). Majority of the patients (78.26%) had class III and IV functional impairment. Cortical atrophy was the most commonly (71.73%) seen abnormality on neuroimaging with CT-scan. Epilepsy was present in 47.82% patients. Conclusions: Cerebral palsy along with its associated dysfunctions definitely disturbs the routine of children's life as well as family life. We have to go a long way before something definitive can be done for these children and their families.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A clinico-epidemiological study of cerebral palsy in western Rajasthan

Makwana¹,

Mourya²,

Mourya³

et al. 2017

Int J Contemp Pediatr

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“…With the development and use of neonatal intensive care units throughout Europe and the associated decrease in neonatal mortality in most countries during the 1970s, 1980s, and 1990s, more of these vulnerable babies are surviving (McCormick 1993). There was some evidence of a rise in CP rates among low-birthweight babies during the 1970s and 1980s (Hagberg et al 1989, Pharoah et al 1990, Topp et al 1997a) but the trends in recent years have been less clear (Meberg and Broch 1995, Hagberg et al 1996, Pharoah et al 1998). There has also been concern that the level of severity of disability may be increasing among children with CP (Stanley 1992, Uldall et al 1995, Hagberg et al 1996, Pharoah et al 1996.…”

mentioning

confidence: 99%

Surveillance of cerebral palsy in Europe: a collaboration of cerebral palsy surveys and registers

Cans

2000

Develop Med Child Neuro

1,465

244

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Although cerebral palsy (CP) is the most common cause of motor deficiency in young children, it occurs in only 2 to 3 per 1000 live births. In order to monitor prevalence rates, especially within subgroups (birthweight, clinical type), it is necessary to study large populations. A network of CP surveys and registers was formed in 14 centres in eight countries across Europe. Differences in prevalence rates of CP in the centres prior to any work on harmonization of data are reported. The subsequent process to standardize the definition of CP, inclusion/exclusion criteria, classification, and description of children with CP is outlined. The consensus that was reached on these issues will make it possible to monitor trends in CP rate, to provide a framework for collaborative research, and a basis for services planning among European countries.

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