Author/Editor     Kavčič, Anamarija; Veličković-Perat, Milivoj
Title     Cerebralna paraliza med otroki v osnovnošolskem obdobju
Translated title     Cerebral palsy in children of primary school age
Type     članek
Source     Zdrav Vestn
Vol. and No.     Letnik 68, št. 1
Publication year     1999
Volume     str. 1-4
Language     slo
Abstract     Background. The epidemiological characteristics of cerebral palsy are one of the important indicators of neurological health in children. Methods. Data on children with cerebral palsy, born from 1981 to 1988 (Slovenian citizens in 1995), were analysed. Data were obtained from the National Cerebral Palsy Register andupdated recently. Results. Among seven- to fourteen-year-old children there were 699 with cerebral palsy (3.3/1000). 38 of them (5.4%) were not born in Slovenia. The smallest prevalence was recorded in Novo mesto region (2.4/1000), and the greatest one in Kranj region (4.9/1000). Boys had cerebral palsy 1.4-fold more frequent than girls (p<0.05). 274 children (42.5%) were born before term. 592 children (84.7%) had spastic syndromes of cerebral palsy, 51 (7.3%) atactic syndromes, 41(5.9%) dyskinetic syndromes, and 15 children (2.1%) hypotonic syndromes. Epilepsy was diagnosed in 213 children (30.5%). 163 of them (76.5%) were mentally retarded. The grequency of epilepsy was the smallest in Murska Sobota region (19.4%), and the greatest in Nova Gorica region (55.6%). Mental retardation was confirmed in 335 children (47.9%). 163 of them (48.7%) had also epilepsy. The frequency of mental retardation was the smallest in Ravne region (23.4%), and the greatest in Maribor region (74.7%). Conclusions. The epidemiological characteristics of cerebral palsy are not the same in all parts of Slovenia. The differences found should be further studied.
Summary     Izhodišča. Epidemiološke značilnosti cerebralne paralize so eden izmed pomembnih kazalnikov nevrološkega zdravljenja otrok. Metode. Analizirali smo epidemiološke podatke o otrocih s cerebralno paralizo, ki so se rodili v letih od 1981 do 1988 in so bili leta 1995 državljani Slovenije. Podatke smo dobili v nacionalnem registru otrok s cerebralno paralizo. Natančnost podatkov smo še dodatno preverili. Rezultati. Med 7-14-letnimi otroki je bilo 699 otrok s cerebralno paralizo (3,3/1000). 38 izmed njih (5,4%) se ni rodilo v Sloveniji. Najmanjšo prevalenco so zabeležili v novomeški regiji (2,4/1000), največjo pa v kranjski (4,9/1000). Dečki so imeli cerebralno paralizo 1,4-krat pogosteje kot deklice (p<0,05). 274 otrok (42,5%) se je rodilo prezgodaj. Spastično obliko cerebralne paralize je imelo 592 otrok (84,7%). ataktično obliko 51 otrok (7,3%), diskinetično obliko 41 otrok (5,9%) in hipotonično obliko 15 otrok (2,1%). Epilepsija je biladiagnosticirana pri 213 otrocih (30,5%). 163 izmed njih (76,5%) je bilo tudi umsko manj razvitih. Pogostost epilepsije je bila najmanjša v murskosoboški regiji (19,4%), največja pa v novogoriški (55,6%). 335 otrok je bilo umsko manj razvitih (47,9%). 163 izmed njih (48,7%) je imelo tudi epilepsijo. Pogostnost umske manjrazvitosti je bila najmanjša v ravenski regiji (23,4%), največja pa v mariborski (74,7%). Zaključki. Epidemiološke značilnosti cerebralne paralize niso enake v vseh delih Slovenije. Ugotovljene razlike bo potrebno še natančneje opredeliti.
Descriptors     CEREBRAL PALSY
CHILD
PREVALENCE
SLOVENIA
EPILEPSY
MENTAL RETARDATION