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Child's Nervous System

, Volume 35, Issue 1, pp 149–156 | Cite as

Prevalence and demographic characteristics of comorbid epilepsy in children and adolescents with cerebral palsy: a nationwide population-based study

  • Kuo-Liang Chiang
  • Fang-Chuan Kuo
  • Chen-Yang ChengEmail author
  • Kai-Ping Chang
Original Paper
  • 151 Downloads

Abstract

Introduction

The nationwide prevalence of cerebral palsy (CP) is unknown due to the lack of a population-based registration system for CP in Taiwan. This study was the largest nationwide, population-based, cross-sectional study to estimate the prevalence of CP, prevalence rates of comorbid epilepsy in patients with CP, and association with socioeconomic status (SES) in Taiwan. The crude prevalence rate and age- and gender-specific prevalence rates were estimated.

Methods

A total of 8419 patients with CP were enrolled, and the estimated prevalence of CP was 1.76‰ in the pediatric population and 1.51‰ and 1.98‰ in girls and boys, respectively. The prevalence rate of epilepsy in patients with CP was 29.8%.

Results

The result revealed a higher prevalence of CP and epileptic CP in members of families with lower insurance premiums than those with higher insurance premiums and those from East Taiwan compared with those from other areas of Taiwan. Moreover, a higher prevalence of CP is shown in rural area than urban area.

Discussion

SES and geographic variables were significantly associated with the risk of epilepsy in children with CP. Patients with epileptic CP had a higher odds ratio of several neuropsychiatric diseases, including mental retardation, ophthalmologic problems, hearing impairment, and hydrocephalus.

Keywords

Pediatric epilepsy Socioeconomic status National Health Insurance 

Notes

Compliance with ethical standards

This study was approved by and conducted in accordance with the Institutional Review Board of Kuang-Tien General Hospital.

Conflict of interest

The authors declare that they have no conflict of interest.

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  • Kuo-Liang Chiang
    • 1
    • 2
    • 3
  • Fang-Chuan Kuo
    • 4
  • Chen-Yang Cheng
    • 2
    • 5
    Email author
  • Kai-Ping Chang
    • 6
  1. 1.Department of Pediatric NeurologyKuang-Tien General HospitalTaichungTaiwan, Republic of China
  2. 2.Program of Health AdministrationTunghai UniversityTaichungTaiwan
  3. 3.Department of NutritionHungkuang UniversityTaichungTaiwan
  4. 4.Department of Physical TherapyHungkuang UniversityTaichungTaiwan
  5. 5.Department of Industrial Engineering and ManagementNational Taipei University of TechnologyTaipeiTaiwan, Republic of China
  6. 6.Department of PediatricsTaipei Veterans General HospitalTaipeiTaiwan

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