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KMID : 0367419750160110005
Journal of Korean Pediatric Society
1975 Volume.16 No. 11 p.5 ~ p.19
The Clinical Observation of Cerebral Palsy

Abstract
In order to serve planning the future wark to be done on the problems in cerebral palsy this study was carried out. The cerebral palsy patients, 200 cases, were examined in out patient clinic and ward, Seoul National University Hospital, for 7 years, from 1966 to 1973.
The following is a summary of the survey of the etiological and clinical conclusions regarding cerebral palsy based on the findings of this study.
1. According to classification of the American Academy of Cerebral Palsy patients were classified. Spastic paralysis 73.0% athetosis 8.0 %, rigidity, 6.0%, ataxia 1.0%, atonia 2.5%, mixed group 5.0% and kernicterus were 4.5%.
2. The patient¢¥s age at the first examination appears under 2 years of age in 87% of patients.
3. The material shows a male predominance 141 cases (70.5%) against 59 cases (29.5%) of female. Sex ratio of boys and girls were 2.4 to 1.
4. A predominance of first born children is noted (46.2%).
5. Information regarding the course of birth showed pathological birth in 14.5%. Among them "difficult birth" were most common form.
6. In 18% of cases neonatal cause of cerebral palsy were presumed. Apnea and ayhyxia were 14% of total cases.
7. 13% of the patients were prematures. This percentage of premature is much higher than another statistics.
8. Information regarding the postnatal cause of cerebral palsy showed in 57 cases (28.5%). Among them jaundice patients 39 cases (19.5%) were predominant.
9. 34 cases (17.0%) had convulsion. Onset of convulsions were before 2 years of age in most cases. The characteristic nature of convulsion were generalized convulsion.
10. About half cases had abnomal eletroencephalography. Most cases had moderate to markedly abnomal generalized dysrhythmia.
11. There are parents of 74.5 of cerebral palsy who gave up accurate diagnosis and consultation within 7 days so easily.
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