Original scientific paper
PREVALENCE OF INTELLECTUAL DISABILITIES AND EPILEPSY IN DIFFERENT FORMS OF SPASTIC CEREBRAL PALSY IN ADULTS
Mladenka Vukojević
; School of Medicine, University of Mostar, Mostar, Bosnia and Herzegovina; Faculty of Health Studies, University of Mostar, Mostar, Bosnia and Herzegovina
Tomislav Cvitković
; Department of Surgery, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina
Bruno Splavski
; Department of Neurosurgery, School of Medicine, J. J. Strossmayer University of Osijek, Clinical Hospital Centre, Osijek, Croatia
Zdenko Ostojić
; Department of Orthopedics, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina; Faculty of Health Studies, University of Mostar, Mostar, Bosnia and Herzegovina
Darinka Šumanović-Glamuzina
; School of Medicine, University of Mostar, Mostar, Bosnia and Herzegovina; Department of Pediatrics, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina; Faculty of Health Studies, University of Mostar, Mostar, Bosnia and Herzegovina
Josip Šimić
; Faculty of Health Studies, University of Mostar, Mostar, Bosnia and Herzegovina
Abstract
Background: Spastic cerebral palsy may be interconnected with other neurodevelopmental disorders such as intellectual disabilities, and epilepsy. Brain synaptic plasticity and successful restorative rehabilitation may also contribute to diminish neurological deficit of patients having cerebral palsy. The aim of this study was to investigate the prevalence of intellectual disabilities and epilepsy in adult patients with different forms of spastic cerebral palsy and to find out correlation between the severity level of intellectual disabilities and epilepsy.
Subjects and methods: Adults diagnosed with different forms of spastic cerebral palsy were analyzed during a three-month
period. The investigated features were: gender and age; form of cerebral palsy; the prevalence of intellectual disabilities and
epilepsy. Intellectual disabilities were divided into 4 severity levels. The correlation between the severity level of intellectual
disabilities and epilepsy was statistically analyzed.
Results: Intellectual disability was present in 55% of patients diagnosed with spastic cerebral palsy. Epilepsy was present in
36% of such patients. It was recorded in 51.1% of quadriplegic, 21.9% of diplegic, and 19.2% of hemiplegic patients. Intellectual disability was present in 73.8% of quadriplegic, 31.3% of diplegic, and 53.8% of hemiplegic patients. The statistically significant correlation existed between the severe intellectual disability and epilepsy.
Conclusions: Intellectual disabilities and epilepsy most frequently occurred in patients with most severe forms of spastic
cerebral palsy. Epilepsy is strongly correlated to the severity level of intellectual disability. Such patients require additional special modes of treatment and restorative rehabilitation to improve the functional outcome.
Keywords
spastic cerebral palsy; intellectual disability; epilepsy; prevalence
Hrčak ID:
263481
URI
Publication date:
12.4.2017.
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