Review article

https://doi.org/10.13112/PC.2019.2

Aetiology and risk factors for cerebral palsy in children born at term

Lucija Ružman
Melita Brnad
Ivana Kolić
Jelena Radić Nišević
Vesna Mahulja Stamenković
Darko Kraguljac
Igor Prpić

Abstract

Cerebral palsy is the most common cause of permanent and severe motor impairment in children. It is considered as a consequence
of damage to immature or developing brain. The aetiology in infants born at term is still mostly unknown and differs from the aetiology
in premature infants. We present aetiology and risk factors for CP in infants born at term and/or treated at Rijeka University
Hospital Centre from 2002 to 2013. Infants born at term comprised about 40% of the children with CP, with the highest contribution
of postnatal aetiology (47%), unlike other authors who cite prenatal aetiology as the leading one. The modern definition and classification
of CP may be the reason for this observation. Intrapartum aetiology was found in 18% and prenatal in 35% of cases. In
children with undetermined aetiology, most risk factors were found during birth, which may indicate intrapartum aetiology, and
thus the increase in the percentage of intrapartum aetiology in the overall aetiology of CP. Aiming at possible prevention, additional
research
into CP aetiology in infants born at term is required using clear definition and classification of CP.

Keywords

CEREBRAL PALSY; postnatal care; prenatal care; risk factors

Hrčak ID:

220741

URI

https://hrcak.srce.hr/220741

Publication date:

23.5.2019.

Article data in other languages: croatian

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