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Published on: November 3, 2016
Familial recurrence of cerebral palsy with multiple risk factors
Lawrence P Richer1, Nancy A Dower, Norma Leonard
1Division of Neurology, Department of Pediatrics, University of Alberta, 4-588 Edmonton Clinic Health Academy (ECHA), Edmonton, AB, Canada T6G 1C9.
Insights
Cerebral palsy recurrence in families is rare, but two families had multiple affected siblings. Multiple risk factors, including environmental and maternal effects, may increase recurrence risk.
Area of Science:
- Neurology
- Genetics
- Obstetrics
Background:
- Cerebral palsy (CP) is a group of disorders affecting movement and posture.
- Familial recurrence of CP is considered uncommon.
- Understanding CP recurrence is crucial for genetic counseling.
Observation:
- Two families presented with multiple siblings affected by cerebral palsy.
- Identified potential risk factors included environmental, obstetric, and maternal influences.
- These cases suggest a potential for increased familial risk.
Findings:
- A hypothesis proposes that multiple interacting risk factors elevate the recurrence risk of cerebral palsy within families.
- Intrinsic and maternal factors warrant investigation in all CP cases.
- Genetic polymorphisms may play a role, warranting further study.
Implications:
- Investigating intrinsic and maternal risk factors is essential for accurate recurrence risk counseling.
- Further research into genetic contributions to cerebral palsy is needed.
- This study highlights the importance of family history in assessing cerebral palsy risk.
Abstract:
The recurrence of cerebral palsy in the same family is uncommon. We, however, report on two families with two or more affected siblings. In both families, numerous potential risk factors were identified including environmental, obstetric, and possible maternal effects. We hypothesize that multiple risk factors may lead to the increased risk of recurrence of cerebral palsy in families. Intrinsic and maternal risk factors should be investigated in all cases of cerebral palsy to properly counsel families on the risk of recurrence. Recent studies of genetic polymorphisms associated with cerebral palsy are considered with reference to our observations in these two families.
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