Abstract
A register has been compiled of the 421 children with congenital cerebral palsy born between 1960 and 1975 from a defined geographical area of North East England (population 770 000). There was a fall in the rate of cerebral palsy among very low birthweight babies between 1964 and 1975 and also in the small group with dyskinetic cerebral palsy. The rate rose, however, among babies weighing more than 2.5 kg at birth in the second half of the study, in parallel with changes in perinatal mortality. The net effect is that the overall congenital cerebral palsy rate (mean 1.64 per 1000 livebirths) showed a gradual rise between 1968 and 1975. This conclusion is reinforced by evidence of a rise in incidence among the subgroup of patients with severe cerebral palsy (as defined by an interval measurement of handicap) during the same period.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- Atkinson S., Stanley F. J. Spastic diplegia among children of low and normal birthweight. Dev Med Child Neurol. 1983 Dec;25(6):693–708. doi: 10.1111/j.1469-8749.1983.tb13837.x. [DOI] [PubMed] [Google Scholar]
- BAX M. C. TERMINOLOGY AND CLASSIFICATION OF CEREBRAL PALSY. Dev Med Child Neurol. 1964 Jun;6:295–297. doi: 10.1111/j.1469-8749.1964.tb10791.x. [DOI] [PubMed] [Google Scholar]
- Davis J. A. The place of birth. Arch Dis Child. 1982 Jun;57(6):406–409. doi: 10.1136/adc.57.6.406. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Ellis M. I., Hey E. N., Walker W. Neonatal death in babies with rhesus isoimmunization. Q J Med. 1979 Apr;48(190):211–225. [PubMed] [Google Scholar]
- Hagberg B., Hagberg G., Olow I. The changing panorama of cerebral palsy in Sweden 1954-1970. I. Analysis of the general changes. Acta Paediatr Scand. 1975 Mar;64(2):187–192. doi: 10.1111/j.1651-2227.1975.tb03820.x. [DOI] [PubMed] [Google Scholar]
- Hagberg B., Hagberg G., Olow I. The changing panorama of cerebral palsy in Sweden. IV. Epidemiological trends 1959-78. Acta Paediatr Scand. 1984 Jul;73(4):433–440. doi: 10.1111/j.1651-2227.1984.tb09951.x. [DOI] [PubMed] [Google Scholar]
- INGRAM T. T. A study of cerebral palsy in the childhood population of Edinburgh. Arch Dis Child. 1955 Apr;30(150):85–98. doi: 10.1136/adc.30.150.85. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kiely J. L., Paneth N., Stein Z., Susser M. Cerebral palsy and newborn care. II: Mortality and neurological impairment in low-birthweight infants. Dev Med Child Neurol. 1981 Oct;23(5):650–659. doi: 10.1111/j.1469-8749.1981.tb02048.x. [DOI] [PubMed] [Google Scholar]
- Kudrjavcev T., Schoenberg B. S., Kurland L. T., Groover R. V. Cerebral palsy--trends in incidence and changes in concurrent neonatal mortality: Rochester, MN, 1950-1976. Neurology. 1983 Nov;33(11):1433–1438. doi: 10.1212/wnl.33.11.1433. [DOI] [PubMed] [Google Scholar]
- LEVIN M. L., BRIGHTMAN I. J., BURTT E. J. The problem of cerebral palsy. N Y State J Med. 1949 Dec 1;49(23):2793–2799. [PubMed] [Google Scholar]
- Nelson K. B., Ellenberg J. H. Children who "outgrew' cerebral palsy. Pediatrics. 1982 May;69(5):529–536. [PubMed] [Google Scholar]
- Nelson K. B., Ellenberg J. H. Epidemiology of cerebral palsy. Adv Neurol. 1978;19:421–435. [PubMed] [Google Scholar]
- Pharoah P. O., Alberman E. D. Mortality of low birthweight infants in England and Wales 1953 to 1979. Arch Dis Child. 1981 Feb;56(2):86–89. doi: 10.1136/adc.56.2.86. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Stanley F. J. An epidemiological study of cerebral palsy in Western Australia, 1956-1975. I: Changes in total incidence of cerebral palsy and associated factors. Dev Med Child Neurol. 1979 Dec;21(6):701–713. doi: 10.1111/j.1469-8749.1979.tb01691.x. [DOI] [PubMed] [Google Scholar]
- Stanley F. J. Using cerebral palsy data in the evaluation of neonatal intensive care: a warning. Dev Med Child Neurol. 1982 Feb;24(1):93–94. doi: 10.1111/j.1469-8749.1982.tb13594.x. [DOI] [PubMed] [Google Scholar]
- Tizard J. P. Cerebral palsies: treatment and prevention. The Croonian lecture 1978. J R Coll Physicians Lond. 1980 Apr;14(2):72-7, 80. [PMC free article] [PubMed] [Google Scholar]