Clinical presentation, associated disorders and aetiological moments in Cerebral Palsy: a Dutch population-based

M J Wichers1, E Odding, H J Stam

  • 1Department of Child Rehabilitation, Leijpark Rehabilitation Centre, Tilburg, The Netherlands. mjwich@knmg.nl

Insights

Quantitative data on cerebral palsy (CP) in the Netherlands was scarce. Clinical patterns and associated disorders in Dutch children with CP remained consistent over time, despite a noted prevalence rise.

Area of Science:

  • Neurology
  • Pediatrics
  • Public Health

Background:

  • Cerebral palsy (CP) presents with diverse clinical features, associated conditions, and causes.
  • Quantitative data and trend analysis for CP in the Netherlands were previously limited.

Purpose of the Study:

  • To provide quantitative data on the prevalence, presentation, and associated disorders of cerebral palsy in Dutch children.
  • To investigate trends in CP clinical patterns and etiological factors over time.

Main Methods:

  • A population-based study involving Dutch children born between 1977-1988 with CP.
  • Data collection included individual history taking, clinical examination, and medical record review by experienced clinicians.
  • Analysis compared clinical subtypes, motor disability, co-morbidities (mental retardation, visual disability, epilepsy), and etiological factors between earlier and later birth years.

Main Results:

  • Over 90% of CP cases were spastic subtypes, with bilateral spastic cerebral palsy being the most common group and spastic hemiplegia the largest individual subtype.
  • Epilepsy and mental retardation were frequently observed co-morbidities.
  • Clinical patterns and associated disorders remained relatively constant across birth years, despite a prevalence increase.

Conclusions:

  • Early diagnosis of cerebral palsy can be challenging.
  • General clinical patterns and associated disorders in CP remained stable over the study period.
  • No specific factor emerged as a clear explanation for the observed rise in CP prevalence.
Abstract

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