Delobel-Ayoub M, Klapouszczak D, van Bakel MME, Horridge K,
Sigurdardottir S, Himmelmann K, Arnaud C. Prevalence and characteristics of
autism spectrum disorders in children with cerebral palsy. Dev Med Child
Neurol. 2017 Apr 25. doi: 10.1111/dmcn.13436. [Epub ahead of print]
Abstract
AIM:
To evaluate the prevalence of co-occurring autism spectrum
disorders (ASDs) among children with cerebral palsy (CP), and to describe their
characteristics.
METHOD:
The data of 1225 CP cases from four population-based
registers (Iceland, Sweden, and two in France) and one population-based
surveillance programme (North East England, UK) participating in the
Surveillance of Cerebral Palsy in Europe Network (SCPE) were analysed. The ASD
diagnoses were systematically recorded using category F84 of the International
Classification of Diseases, 10th Revision. The registers provided data on
children born between 1995 and 2006, while the cross-sectional survey in the UK
concerned children aged 0 to 19 years, registered in 2010.
RESULTS:
Among the children with CP, 107 had an associated diagnosis
of ASD - i.e., 8.7% of the study population (95% confidence interval 7.2-10.5).
This proportion varied across centres from 4.0% to 16.7% but was independent of
CP prevalence. Male sex, co-occurring epilepsy, intellectual disability, and
better walking ability were associated with the coexistence of ASD.
INTERPRETATION:
Our findings support the need for a multidisciplinary
approach to management of children with CP to adequately identify and address
all facets of presentation, including ASD.
Courtesy of: https://www.mdlinx.com/neurology/medical-news-article/2017/04/26/cerebral-palsy-children-autism-spectrum-disorders/7146903/?category=latest&page_id=4
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