PMID- 18355334 OWN - NLM STAT- MEDLINE DCOM- 20080620 LR - 20091111 IS - 0012-1622 (Print) IS - 0012-1622 (Linking) VI - 50 IP - 5 DP - 2008 May TI - Cognitive profile in young Icelandic children with cerebral palsy. PG - 357-62 LID - 10.1111/j.1469-8749.2008.02046.x [doi] AB - We describe the cognitive profile in a complete national cohort of children with cerebral palsy (CP). One hundred and twenty-seven Icelandic children (67 females, 60 males) with CP, born between 1985 and 2000 and assessed between the ages of 4 and 6 years 6 months (mean age 5y 5mo, SD 6mo), were included in the study. IQ was measured using the Wechsler Preschool and Primary Scale of Intelligence (WPPSI) and developmental quotient (DQ) was obtained using various developmental scales. Physiological classification of CP in the children was: spasticity, n=104 (82%); dyskinesia, n=14 (11%); ataxia, n=six (4.7%), and unclassified CP, n=3 (2.3%). Spastic diplegia was the most prevalent subtype (35%) followed by hemiplegia and quadriplegia. Forty-five per cent of the group were at Level I of the Gross Motor Function Classification System, 32% were at Levels II and III, and 23% were at Levels IV and V. Sixty per cent of the children had an IQ or DQ >70. Median scores on the WPPSI were Full-scale IQ 84, Verbal IQ (VIQ) 92, and Performance IQ (PIQ) 77. Children with spastic diplegia and quadriplegia had a significantly lower PIQ than VIQ. Of the children who failed to complete the WPPSI, 20% had DQ >85. Thus, cognitive skills can be masked by limitations of movement and motor control in children with CP. FAU - Sigurdardottir, Solveig AU - Sigurdardottir S AD - State Diagnostic and Counselling Centre, Kopavogur, Iceland. solveig@greining.is FAU - Eiriksdottir, Audur AU - Eiriksdottir A FAU - Gunnarsdottir, Eva AU - Gunnarsdottir E FAU - Meintema, Marrit AU - Meintema M FAU - Arnadottir, Unnur AU - Arnadottir U FAU - Vik, Torstein AU - Vik T LA - eng PT - Journal Article DEP - 20080318 PL - England TA - Dev Med Child Neurol JT - Developmental medicine and child neurology JID - 0006761 SB - IM MH - Cerebral Palsy/*epidemiology/*physiopathology MH - Chi-Square Distribution MH - Child MH - Child, Preschool MH - Cognition/*physiology MH - Female MH - Humans MH - Iceland/epidemiology MH - Logistic Models MH - Male MH - Neuropsychological Tests MH - Retrospective Studies MH - Verbal Learning/*physiology MH - Wechsler Scales EDAT- 2008/03/22 09:00 MHDA- 2008/06/21 09:00 CRDT- 2008/03/22 09:00 PHST- 2008/03/22 09:00 [pubmed] PHST- 2008/06/21 09:00 [medline] PHST- 2008/03/22 09:00 [entrez] AID - DMCN02046 [pii] AID - 10.1111/j.1469-8749.2008.02046.x [doi] PST - ppublish SO - Dev Med Child Neurol. 2008 May;50(5):357-62. doi: 10.1111/j.1469-8749.2008.02046.x. Epub 2008 Mar 18.