Cognitive functioning in dyskinetic cerebral palsy: Its relation to motor function, communication and epilepsy

Ballester‐Plané, Júlia; Laporta-Hoyos, Olga; Macaya, Alfons; Póo, Pilar; Meléndez-Plumed, Mar; Toro-Tamargo, Esther; Gimeno, Francisca; Narberhaus, Ana; Segarra, Dolors; Pueyo, Roser

doi:10.1016/j.ejpn.2017.10.006

Cited by 29 publications

(13 citation statements)

References 71 publications

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“…Epilepsy, present in 41%, had not increased with age supporting early onset in most cases, as shown in earlier studies . Epilepsy was as expected strongly associated with more severe motor and intellectual impairment .…”

Section: Discussionsupporting

confidence: 83%

“…Early disturbances in the developing brain result in the motor disorder of CP, which is ‘often accompanied by disturbances of sensation, cognition, communication, perception and/or behaviour, and/or by a seizure disorder’, as emphasised in the most recent definition of CP . These disturbances are sometimes more disabling than the motor disorder . Some impairments become apparent with age, since some abilities, such as reading, only develop later in childhood.…”

Section: Introductionmentioning

confidence: 99%

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One‐third of school‐aged children with cerebral palsy have neuropsychiatric impairments in a population‐based study

2019

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Aim: To describe motor function and associated impairments, particularly autism spectrum disorder (ASD) and attention-deficit/hyperactivity disorder (ADHD), in school-aged children with cerebral palsy (CP).Methods: Population-based study of all children with CP born 1999-2006 from the county of V€ astra G€ otaland, Sweden; 264 children (141 males, 123 females). Information was obtained from the CP Register of western Sweden (data collected at 4-8 years of age) and all medical records at 10-17 years of age.Results: Cerebral palsy was spastic in 76%, dyskinetic in 17% and ataxic in 7% of all children. Sixty-three per cent were independent walkers. Associated impairments were present in 75%. Vision was impaired in 19%, hearing in 8% and speech in 54%. Intellectual disability (ID) was present in 53% and epilepsy in 41%. ID had increased from 42% to 53% since preschool-age. Neuropsychiatric impairments were present in 32% of the children; ASD in 18%; and ADHD in 21%. All impairments, except for ASD and ADHD, increased with more severe motor impairment.Conclusion: Three in four school-aged children with CP have associated impairments, underscoring the need to broadly assess every child. The high rate of ASD and ADHD points to the importance of in-depth studies of such impairments in CP. 2048

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Section: Discussionsupporting

confidence: 83%

Section: Introductionmentioning

confidence: 99%

One‐third of school‐aged children with cerebral palsy have neuropsychiatric impairments in a population‐based study

2019

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“…Often 50% to 60% are reported to have an IQ less than 70, but it varies between as few as 25% and as many as 70% to 80% . As in spastic CP, normal cognition is also found in those with the most severe motor impairments . In children with dyskinetic CP this is to be expected, as magnetic resonance imaging (MRI) studies show that lesions in subcortical areas, affecting extrapyramidal pathways, are common …”

Section: Resultsmentioning

confidence: 99%

“…8,63 As in spastic CP, normal cognition is also found in those with the most severe motor impairments. 64 In children with dyskinetic CP this is to be expected, as magnetic resonance imaging (MRI) studies show that lesions in subcortical areas, affecting extrapyramidal pathways, are common. 65 Studies of cognition including only children with dyskinetic CP are rare, but show that visual perception, language, memory, and executive functions often are as expected for age.…”

Section: Dyskinesiamentioning

confidence: 99%

Cognitive functioning in children with cerebral palsy

Stadskleiv

2020

Develop Med Child Neuro

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PVL Periventricular leukomalaciaChildren with cerebral palsy (CP) have an increased risk of cognitive impairments. This narrative review of the literature discusses assessment of cognition in children with CP, presents the most salient characteristics of cognitive functioning pertaining to each subtype, and discusses the relationships between brain injury, functioning, and intervention from a developmental perspective. A search for original studies of cognitive functioning in children with different subtypes of CP was performed. The search resulted in 81 unique hits. There were few studies with a representative sample of children with CP where all participants were individually assessed. Cognitive functioning in children with the most severe motor impairments were often assumed and not assessed. Furthermore, there was a confounding of IQ below 70 and intellectual disability, possibly leading to an overestimation of the prevalence of intellectual disability. Longitudinal neuropsychological studies, including also very young children and those with the most severe speech and motor impairments, as well as intervention studies, are called for.

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“…Similar to already existing evidence, we identified an association between GMFCS/BFMF and different CP comorbidities, which again illustrates the complex interplay between functional abilities and the concomitant symptoms of the CP disease. A plausible and prominent explanation for this may be that different brain lesions causing motor dysfunction may also have direct and indirect effects on other functional areas, such as speech, hearing, or epilepsy [ 20 , 47 , 48 , 49 , 50 , 51 ].…”

Section: Discussionmentioning

confidence: 99%

Assessment of Sleep-Related Problems in Children with Cerebral Palsy Using the SNAKE Sleep Questionnaire

et al. 2021

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Cerebral palsy (CP) represents the most common motor impairment in childhood. The presence of sleep problems has not yet been investigated with an instrument specifically designed for this population. In this hospital-based, prospective study, N = 100 children (M = 7.9, range: 2–18 years) with CP were included. All patients underwent pediatric neurologists’ screening incorporating instruments (Data Collection Form; Gross Motor Functions Classification System, GMFCS; Bimanual Fine Motor Function, BFMF) recommended by the “Surveillance of Cerebral Palsy in Europe (SCPE)”. Parents completed the “Sleep Questionnaire for Children with Severe Psychomotor Impairment (SNAKE)”. Children’s sleep behavior was increasingly conspicuous, with greater gross motor (SNAKE scales: disturbances remaining asleep, daytime sleepiness) and fine motor (additionally SNAKE scale arousal and breathing problems) functional impairment. Overall, a proportion of children showed sleep behavior outside the SNAKE’s normal range. No relevant sleep differences were identified between different CP subtypes and comorbidities. Applying a population-specific questionnaire, children’s functional impairment seems to be more relevant to their sleep behavior than the CP subtype or CP comorbidities.

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Cognitive functioning in dyskinetic cerebral palsy: Its relation to motor function, communication and epilepsy

Cited by 29 publications

References 71 publications

One‐third of school‐aged children with cerebral palsy have neuropsychiatric impairments in a population‐based study

One‐third of school‐aged children with cerebral palsy have neuropsychiatric impairments in a population‐based study

Cognitive functioning in children with cerebral palsy

Assessment of Sleep-Related Problems in Children with Cerebral Palsy Using the SNAKE Sleep Questionnaire

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