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Origins of Cerebral Palsy
Richard L. Naeye, MD;
Ellen C. Peters;
Mary Bartholomew, MS;
J. Richard Landis, PhD
Am J Dis Child. 1989;143(10):1154-1161.
Abstract
• Analyses were undertaken to determine the causes of cerebral palsy in a prospective study of 43 437 full-term children. Presumed causes were found for about 71% of the 34 quadriplegic and 40% of the 116 nonquadriplegic patients with cerebral palsy. Risk estimates based on predictive models, adjusted for multiple factors, suggest that 53% of the quadriplegic patients with cerebral palsy could be attributed to congenital disorders, 14% to birth asphyxia, and 8% to other identified disorders. Thirty-five percent of the nonquadriplegic patients with cerebral palsy could be attributed to congenital disorders and 6% to other disorders. In the victims of cerebral palsy, characteristic consequences of birth asphyxia were more often the result of nonasphyxial disorders. These included meconium in the amniotic fluid, low 10-minute Apgar scores, neonatal apnea spells, seizures, persisting neurologic abnormalities, and slow head growth after birth.
(AJDC. 1989;143:1154-1161)
Author Affiliations
From the Department of Pathology (Dr Naeye and Ms Peters) and Center for Biostatistics and Epidemiology (Ms Bartholomew and Dr Landis), M. S. Hershey Medical Center, The Pennsylvania State University College of Medicine, Hershey.
Footnotes
Accepted for publication June 6, 1988.
Reprint requests to Department of Pathology, M. S. Hershey Medical Center, Hershey, PA 17033 (Dr Naeye).
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