Epilepsy and cerebral palsy: characteristics and trends in children born in 1976-1998
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Elodie Sellier1, Peter Uldall, Eulalia Calado
1UJF-Grenoble 1/CNRS/TIMC-IMAG UMR 5525, Grenoble, F-38041, France. esellier@chu-grenoble.fr
Insights
Prevalence of cerebral palsy (CP) with epilepsy in children showed a quadratic trend from 1976-1998. Epilepsy in children with CP was linked to specific CP types, impairments, and neonatal factors.
Area of Science:
- Pediatric Neurology
- Epidemiology
- Developmental Pediatrics
Background:
- Epilepsy is a common co-occurring condition in children with cerebral palsy (CP).
- Limited data previously existed on the prevalence rates of both CP and epilepsy in pediatric populations.
Purpose of the Study:
- To determine the prevalence of epilepsy in children diagnosed with cerebral palsy.
- To investigate associations between epilepsy and neonatal characteristics, co-occurring impairments, and specific CP subtypes.
Main Methods:
- Analysis of data from 9,654 children with CP, registered across 17 European centers (Surveillance of Cerebral Palsy in Europe network) between 1976 and 1998.
- Examination of epilepsy prevalence in relation to neonatal factors, associated impairments, and CP classification.
Main Results:
- Epilepsy was present in 35% of children with CP, with 72% receiving medication.
- Higher epilepsy rates were observed in children with dyskinetic or bilateral spastic CP and additional impairments.
- The prevalence of CP with epilepsy followed a quadratic trend (increase 1976-1983, decrease thereafter).
- Neonatal factors associated with epilepsy included brain malformations, syndromes, term/moderate preterm birth, perinatal distress, neonatal seizures, ventilation, and NICU admission.
Conclusions:
- The prevalence of epilepsy in children with CP mirrored the overall CP prevalence trend during 1976-1998.
- The established link between epilepsy and associated impairments warrants further investigation through longitudinal studies.
Background:
Although epilepsy is common in children with cerebral palsy (CP), no data exists on prevalence rates of CP and epilepsy.
Aims:
To describe epilepsy in children with CP, and to examine the association between epilepsy and neonatal characteristics, associated impairments and CP subtypes.
Methods:
Data on 9654 children with CP born between 1976 and 1998 and registered in 17 European registers belonging to the SCPE network (Surveillance of Cerebral Palsy in Europe) were analyzed.
Results:
A total of 3424 (35%) children had a history of epilepsy. Among them, seventy-two percent were on medication at time of registration. Epilepsy was more frequent in children with a dyskinetic or bilateral spastic type and with other associated impairments. The prevalence of CP with epilepsy was 0.69 (99% CI, 0.66-0.72) per 1000 live births and followed a quadratic trend with an increase from 1976 to 1983 and a decrease afterwards. Neonatal characteristics independently associated with epilepsy were the presence of a brain malformation or a syndrome, a term or moderately preterm birth compared with a very premature birth, and signs of perinatal distress including neonatal seizures, neonatal ventilation and admission to a neonatal care unit.
Conclusions:
The prevalence of CP with epilepsy followed a quadratic trend in 1976-1998 and mirrored that of the prevalence of CP during this period. The observed relationship between epilepsy and associated impairments was expected; however it requires longitudinal studies to be better understood.
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