%0 Journal Article %1 Wichers2005 %A Wichers, M. J. %A Odding, E. %A Stam, H. J. %A van Nieuwenhuizen, O. %D 2005 %J Disabil Rehabil %K Adolescent; Adult; Cerebral Palsy; Child; Comorbidity; Dyskinesias; Epilepsy; Female; Humans; Male; Mental Retardation; Muscle Spasticity; Netherlands; Prevalence; Risk Factors; Time Vision Disorders %N 10 %P 583--589 %R 10.1080/09638280400018445 %T Clinical presentation, associated disorders and aetiological moments in Cerebral Palsy: a Dutch population-based study. %U http://dx.doi.org/10.1080/09638280400018445 %V 27 %X PURPOSE: Cerebral Palsy (CP) contains varying clinical presentations, associated disorders and aetiological moments. Quantitative data and trends on these aspects were lacking in The Netherlands. METHOD: Within a population-based study on prevalence, presentation and functioning of Dutch children with CP born in the years 1977-1988, individual history taking, examination and medical file checking was done by experienced clinicians. Clinical subtypes, motor disability, important co-morbidity (mental retardation, visual disability and epilepsy) were recorded, aetiological moments identified if possible. By comparing the four most recent years with the earlier years possible trends were studied. RESULTS: A quarter of children beforehand recorded as CP did not meet inclusion criteria after individual examination. Spastic subtypes accounted for over 90\% of all CP cases: bilateral spastic cerebral palsy as a group are the majority although spastic hemiplegia is percentage-wise the largest individual clinical subtype. Epilepsy and mental retardation are common. Clinical patterns and associated disorders remained rather constant comparing earlier to more recent birth years. CONCLUSIONS: An early diagnosis of CP may be challenged. General clinical patterns remained rather constant in following years, as did most studied items. Even if this study revealed a prevalence rise, no aspect stood out as a possible explanation for this prevalence rise. Comparable studies performed elsewhere showed similar findings.

@article{Wichers2005, abstract = {PURPOSE: Cerebral Palsy (CP) contains varying clinical presentations, associated disorders and aetiological moments. Quantitative data and trends on these aspects were lacking in The Netherlands. METHOD: Within a population-based study on prevalence, presentation and functioning of Dutch children with CP born in the years 1977-1988, individual history taking, examination and medical file checking was done by experienced clinicians. Clinical subtypes, motor disability, important co-morbidity (mental retardation, visual disability and epilepsy) were recorded, aetiological moments identified if possible. By comparing the four most recent years with the earlier years possible trends were studied. RESULTS: A quarter of children beforehand recorded as CP did not meet inclusion criteria after individual examination. Spastic subtypes accounted for over 90\% of all CP cases: bilateral spastic cerebral palsy as a group are the majority although spastic hemiplegia is percentage-wise the largest individual clinical subtype. Epilepsy and mental retardation are common. Clinical patterns and associated disorders remained rather constant comparing earlier to more recent birth years. CONCLUSIONS: An early diagnosis of CP may be challenged. General clinical patterns remained rather constant in following years, as did most studied items. Even if this study revealed a prevalence rise, no aspect stood out as a possible explanation for this prevalence rise. Comparable studies performed elsewhere showed similar findings.}, added-at = {2014-07-19T21:54:47.000+0200}, author = {Wichers, M. J. and Odding, E. and Stam, H. J. and van Nieuwenhuizen, O.}, biburl = {https://www.bibsonomy.org/bibtex/2f095dd5582fa4d20ee623f8d274963c9/ar0berts}, doi = {10.1080/09638280400018445}, groups = {public}, interhash = {333fd7b3f924915afc68e042a6b29e41}, intrahash = {f095dd5582fa4d20ee623f8d274963c9}, journal = {Disabil Rehabil}, keywords = {Adolescent; Adult; Cerebral Palsy; Child; Comorbidity; Dyskinesias; Epilepsy; Female; Humans; Male; Mental Retardation; Muscle Spasticity; Netherlands; Prevalence; Risk Factors; Time Vision Disorders}, month = May, number = 10, pages = {583--589}, pii = {N5364L6584632XQ6}, pmid = {16019867}, timestamp = {2014-07-19T21:54:47.000+0200}, title = {Clinical presentation, associated disorders and aetiological moments in Cerebral Palsy: a Dutch population-based study.}, url = {http://dx.doi.org/10.1080/09638280400018445}, username = {ar0berts}, volume = 27, year = 2005 }