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- W2030180287 abstract "SUMMARY 298 neurologically handicapped children were comprehensively assessed at a regional assessment centre during the first six months of 1970. The common clinical impression of a high prevalence of multiple handicap in children with cerebral palsy was confirmed. Two previously unsuspected observations emerged. (1) When the prevalence of associated deficits, grand mal attacks, microcephaly, and a bad prenatal or perinatal history are analysed by type of cerebral palsy, it becomes evident that types fall into two main groups of motor abnormality, for the cases of spastic tetraplegia and of dystonic choreoathetoid tetraplegia show a much higher frequency of severe associated deficits (visual, auditory, motor and learning handicap) and of a bad prenatal and perinatal history than do cases of spastic hemiplegia, spastic diplegia and ataxic cerebral palsy. This finding may have significance for the aetiology of these various types of cerebral palsy. (2) Deafness does not commonly follow perinatal hypoxia and only does so when there are at least two other associated important deficits, suggesting that to produce deafness, perinatal hypoxia has to be of a relatively uncommon severity. RÉSUMÉ Indication dans un centre de diagnostic de district pour enfants handicapés Sur 298 enfants soigneusement examinés dans un centre de diagnostic de district au cours d'une période de 6 mois, 80 étaient des imc. L'impression clinique habituelle de handicaps multiples chez les enfants imc a été confirmée. Deux observations inattendues sont apparues: (1) Devant l'association de crises grand mal, microcéphalie, histoire pré ou périnatale chargée, une analyse sur le type de l'infirmité motrice cérébrale a permis d'opposer deux groupes principaux d'anomalie motrice. (2) La surdité n'est pas habituelle à la suite d'une hypoxie périnatale; elle le devient seulement quand il existe au moins deux autres déficits associés importants. Les implications de ces observations sont discutées. ZUSAMMENFASSUNG Datensammlung an einem Diagnostikzentrum für behinderte Kinder Von 298 Kindern, die an einem Diagnostikzentrum über sechs Monate eingehend untersucht worden waren, hatten 80 eine Cerebralparese. Der klinische Eindruck der multiplen Behinderungen der cerebralparetischen Kinder wurde bestätigt. Man machte zwei unerwartete Beobachtungen. (1) Wenn man die pathologischen Befunde durch Grand mal Anfälle, die Mikrocephalie und eine pathologische prä- oder perinatale Anamnese im Hinblick auf den Typ der Cerebralparese aufschlüsselt, zeigen sich zwei Hauptgruppen motorischer Normabweichungen. (2) Nicht immer resultiert aus einer perinatalen Hypoxie eine Taubheit, sondern nur wenn wenigstens zwei weitere pathologische Faktoren gefunden werden. Es werden die Konsequenzen dieser Beobachtungen diskutiert. RESUMEN Acumulación de datos en un centro de distrito para la valoración de niños minusválid os De 298 niños que fueron estudiados en el centro durante 6 meses, 80 tenían parálisis cerebral. Se confirmó la habitual impresión clínica de minusvalía múltiple en niños con parálisis cerebral. Aparecieron dos observaciones inesperadas. (1) Cuando la asociación de ataques de gran mal, microcefalia y una mala historia pre y perinatal, se analizó de acuerdo con el tipo de parálisis cerebral, los casos cayeron dentro de dos grupos principales de anormalidad motriz. (2) La sordera no sigue corrientemente la hipoxia perinatal. Solamen te lo hace cuando existen por lo menos otros dos déficits importantes asociados. Se discuten las implicaciones de estas observaciones." @default.
- W2030180287 created "2016-06-24" @default.
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- W2030180287 date "2008-11-12" @default.
- W2030180287 modified "2023-10-02" @default.
- W2030180287 title "The Frequency of Other Handicaps in Children with Cerebal Palsy" @default.
- W2030180287 cites W1988371360 @default.
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- W2030180287 doi "https://doi.org/10.1111/j.1469-8749.1973.tb04887.x" @default.
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