| Cerebral palsy in twins: a national study. | |
| | |
MedLine Citation:
|
PMID: 12193519 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Cerebral palsy is more common in twins than singletons. Among twins, if one twin suffers a fetal death or dies in infancy, the prevalence of cerebral palsy in the surviving co-twin is considerably increased, and those from like-sex pairs are particularly at high risk. AIM: To compare birthweight specific cerebral palsy prevalence in like-sex and unlike-sex twins where both twins survive infancy and to provide a comparative and composite picture of cerebral palsy prevalence according to whether a co-twin died or where both twins survived. METHODS: Parents of twins born in England and Wales in 1994 and 1995 completed a booklet with open ended questions asking whether their twins had any medical, physical, visual, genetic, or chromosomal problems. Any mention of cerebral palsy, hemiplegia, diplegia, or quadriplegia allowed the child to be included as a case of cerebral palsy. Birthweight specific prevalence rates of cerebral palsy were determined for like and unlike-sex twins in birthweight groups < 1000 g, 1000-1499 g, 1500-1999 g, 2000-2499 g, and > or = 2500 g. RESULTS: When both twins survived infancy, like-sex were at greater risk of cerebral palsy than unlike-sex twins, but the difference was not statistically significant. If both twins survived infancy, the birthweight specific prevalence of cerebral palsy was significantly less than if the co-twin had died. CONCLUSIONS: Among the generality of twins, like-sex compared with unlike-sex twins are at greater risk of cerebral palsy particularly if one twin suffers a fetal or infant death. Although it is not possible to subdivide the twins according to zygosity, it is postulated that monozygosity and, specifically, monochorionicity may be the crucial feature that leads to the higher prevalence of cerebral impairment among like-sex twins. |
| | |
Authors:
|
P O D Pharoah; T S Price; R Plomin |
Related Documents
:
|
1923189 - Ultrasound surveillance of the cervix in twin gestations: management of cervical incomp... 10524459 - Congenital acute megakaryoblastic leukemia (m7) with chromosomal t(1;22)(p13;q13) trans... 6538639 - Increased deaths due to endocrine system diseases and allergies among mothers of dizygo... 12712079 - Long-term neurodevelopmental outcome after intrauterine laser treatment for severe twin... 10636499 - Delivery of breech first twins: a multicenter retrospective study. 3330389 - Twinning in new england in the 17th-19th centuries. 12785689 - Hypophosphatemia associated with hypovitaminosis-d in speke's gazelles (gazella spekei). 12456909 - Intersite differences in weight growth velocity of extremely premature infants. 19827919 - A summary of the agency for healthcare research and quality's evidence report on breast... |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't; Twin Study |
Journal Detail:
|
Title: Archives of disease in childhood. Fetal and neonatal edition Volume: 87 ISSN: 1359-2998 ISO Abbreviation: Arch. Dis. Child. Fetal Neonatal Ed. Publication Date: 2002 Sep |
Date Detail:
|
Created Date: 2002-08-23 Completed Date: 2002-11-14 Revised Date: 2009-11-18 |
Medline Journal Info:
|
Nlm Unique ID: 9501297 Medline TA: Arch Dis Child Fetal Neonatal Ed Country: England |
Other Details:
|
Languages: eng Pagination: F122-4 Citation Subset: AIM; IM |
Affiliation:
|
Department of Public Health, University of Liverpool, Liverpool L69 3GB, UK. p.o.d.pharoah@liv.ac.uk |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Birth Weight Cerebral Palsy / epidemiology* Diseases in Twins / epidemiology* England / epidemiology Female Humans Male Prevalence Risk Factors Sex Factors Wales / epidemiology |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Comparative epidemiology of sudden infant death syndrome and sudden intrauterine unexplained death.
Next Document: Portal vein thrombosis causing neonatal cerebral infarction.