An epidemiological survey of severely mentally and physically disabled children in Okinawa

Nakada, Yukikatsu

doi:10.1016/0387-7604(93)90047-c

Cited by 8 publications

(2 citation statements)

References 5 publications

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“…Mentally retarded children with active Ep are frequently burdened with additional neuroimpairments such as CP, severe visual impairment and psychiatric problems. A combination of MR and Ep is an indication of widespread and severe brain damage, as demonstrated in this and other studies (9,14,(28)(29)(30). A search for preventable etiological factors is needed in this group with so many multifaceted problems of management.…”

Section: Q <70mentioning

confidence: 68%

Active epilepsy in mentally retarded children. I. Prevalence and additional neuroimpairments

Steffenburg¹,

Hagberg²,

Viggedal³

et al. 1995

Acta Paediatrica

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A population-based study of active epilepsy was conducted in 6-13-year-old mentally retarded children born between 1975 and 1986. The population at risk comprised 48,873 children. Ninety-eight children were identified, 35 mildly and 63 severely retarded. The prevalence was 2.0 per 1000; 0.7 per 1000 for mildly and 1.3 per 1000 for severely retarded children. Sixty-nine children had at least one additional neuroimpairment. Cerebral palsy was found in 42 children with a majority of spastic/dystonic tetraplegias; visual impairment was present in 24 and autism in 24. Thirty-three children had only a mild or no gross motor disability and mild mental retardation, while 23 had IQs < 20 and a very severe gross motor disability. This study underlines the fact that active epilepsy in mentally retarded children is often associated with additional neuroimpairments, especially a combination of severe cerebral palsy and severe visual impairment.

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Section: Q <70mentioning

confidence: 68%

Active epilepsy in mentally retarded children. I. Prevalence and additional neuroimpairments

Steffenburg¹,

Hagberg²,

Viggedal³

et al. 1995

Acta Paediatrica

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“…Undiagnosed seizure activity is another problem that can have a profound effect on a wide range of higher functions, as well as on the general level of alertness and well-being of the child. For example, Steffenburg et al (1995) draw attention to the frequent co-occurrence of epilepsy, severe cerebral palsy and severe visual impairment, whilst Nakada (1993) suggests that the prevalence of epilepsy in the population with severe physical and learning disability may be as high as 80%.…”

Section: Level 1: Disordermentioning

confidence: 99%

A model for the assessment and management of children with multiple disabilities

Cass¹,

Price²,

Reilly³

et al. 1999

Child

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Children with multiple disabilities present complex management problems, both for their families and for the professionals involved in their care. For any one child, the list of functional and medical problems that need to be addressed is frequently reflected in an even longer list of involved professionals, leading to conflicting advice and problems in co-ordination of care. A hierarchical model for assessment and management is proposed, which highlights the interdependency of apparently different areas of functioning. The model aims to assist both parents and professionals in determining priorities, to improve interdisciplinary working, and to underpin staff training. Illustrative case studies indicate the importance of resolving issues in areas such as visual functioning, positioning and nutrition before integrated functions such as communication skills can be addressed successfully.

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Prognosis in severe motor and intellectual disabilities syndrome complicated by epilepsy

Kurihara

Kumagai

Noda

et al. 1998

Brain and Development

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An epidemiological survey of severely mentally and physically disabled children in Okinawa

Cited by 8 publications

References 5 publications

Active epilepsy in mentally retarded children. I. Prevalence and additional neuroimpairments

Active epilepsy in mentally retarded children. I. Prevalence and additional neuroimpairments

A model for the assessment and management of children with multiple disabilities

Prognosis in severe motor and intellectual disabilities syndrome complicated by epilepsy

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