Abstract
BackgroundThe purpose of this study was to describe clinical presentation, epilepsy, EEG, extent and site of the underlying cerebral lesion with special reference towards aetiologic background factors in a population-based group of children with hemiplegic cerebral palsy.MethodsForty-seven children of school- age, fulfilling the SPCE (Surveillance of Cerebral palsy in Europe)-criteria of hemiplegic cerebral palsy, identified via the Swedish cerebral palsy register, were invited and asked to participate in the study.ResultsFifteen boys and six girls participated. Of the sixteen children born at term, five had no risk factors for cerebral palsy. Two out of five preterm children presented additional risk factors. Debut of motor impairment was observed in the first year of life in sixteen children. Age at diagnosis varied from 2 months to 6 years. Epilepsy was common and associated with grey- and white matter injury.ConclusionsRecognizing the importance of risk factors for cerebral palsy, any child with these risk factors should be offered a check-up by a paediatrician or a paediatric neurologist. Thereby reducing diagnostic delay. Epilepsy is common in hemiplegic cerebral palsy and associated with grey- and white matter injury in this cohort.
Highlights
The purpose of this study was to describe clinical presentation, epilepsy, EEG, extent and site of the underlying cerebral lesion with special reference towards aetiologic background factors in a population-based group of children with hemiplegic cerebral palsy
In a previous study of a subgroup of hemiplegic cerebral palsy, we found a high frequency of epilepsy, almost 50% [1]
Hemiplegic cerebral palsy was defined as a unilateral motor impairment
Summary
The purpose of this study was to describe clinical presentation, epilepsy, EEG, extent and site of the underlying cerebral lesion with special reference towards aetiologic background factors in a population-based group of children with hemiplegic cerebral palsy. In a previous study of a subgroup of hemiplegic cerebral palsy, we found a high frequency of epilepsy, almost 50% [1]. We wanted to study a population-based group of hemiplegic cerebral palsy in both term and preterm children. Cerebral palsy (CP) is an umbrella term for motor impairments, that share features of a non-progressive brain injury, acquired during the early stages of its development [2,3,4] .These motor impairments can have different aetiologic backgrounds, occurring in the antenatal, perinatal or postnatal period [2,3,4]. In term children with cerebral palsy, grey matter lesions are more common [6]
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