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Cerebral palsy

Survival rates, associated handicaps, and distribution by clinical subtype (Rochester, MN, 1950–1976)

Neuroepidemiology Section, Office of the Director, Intramural Research Program (Drs. Kudjavcev and Schoenberg), National Institute of Neurological and Communicative Disorders and Stroke, National Institutes of Health, Bethesda, MD; and the Departments of Medical Statistics and Epidemiology (Dr. Kurland) and Neurology (Dr. Groover), Mayo Clinic, Rochester, MN.

We identified 64 cases of cerebral palsy (CP) born to Rochester residents in 1950-76. The majority (73%) had one of the spastic syndromes. Ataxic and dyskinetic syndromes constituted 16% and 6%, respectively. Survival follow-up was available through 1980 birthdates. Using life-table methods, we calculated survival rates for the first 10 years of life. For severely or profoundly retarded children, survival was 68% at 5 years and 54% at 10 years. All others survived through their 1980 birthday. Follow-up of CP resolution was available through the seventh birthday. Cases born in 1968-76 had the highest resolution rate (30%). For mild CP, the 1968-76 resolution rate was 86%.

Address correspondence and reprint requests to Dr. Kudrjavcev, Epidemiology, Demography, and Biometry Program, NIH/NIA, Room 612, Federal Building, 7550 Wisconsin Avenue, Bethesda, MD 20205.

Presented in part at the thirty-fourth annual meeting of the American Academy of Neurology, Washington, DC. April 1982.

Accepted for publication October 3, 1984.

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