Perinatal Asphyxia and Cerebral Palsy

Bedrick, Alan D.

doi:10.1001/archpedi.1989.02150220027014

Cited by 10 publications

(1 citation statement)

References 7 publications

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“…Improvements in obstetric and neonatal care have not affected significantly the incidence of CP (12)(13)(14). As a result, there is increasing doubt about the significance of difficult birth and perinatal asphyxia as causes of CP (15)(16)(17). In recent years most studies have been concerned mainly with the preterm baby, and consequently with spastic diplegia, hemiplegia and spastic quadriplegia (1 8); very few have dealt with the term baby (19,20) and still fewer (21) specifically with the dyskinetic/ dystonic forms, most of whom are born at term.…”

Section: Discussionmentioning

confidence: 99%

Dyskinetic and dystonic cerebral palsy and birth

Foley¹

1992

Acta Paediatrica

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Two hundred and nineteen cases of the dyskinetic and dystonic forms of cerebral palsy which were seen in the course of three decades at a single clinic have been analysed. Fifty-seven patients had kernicterus. In the remaining 162, 71% of whom were born at term, birthweight was below the expected mean in two-thirds. There was no relationship between birth weight, or abnormal birth, or asphyxia, and the ultimate clinical severity of the children. We conclude that abnormal birth and asphyxia are not direct causes of the cerebral damage, but are expressions of a pre-existing condition resulting in susceptibility to the stress of birth, whether it is normal or abnormal.

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