Apollo Gleneagles Hospital, Kolkata, India. Introduction: Sensory Processing Disorder (SPD) is a complex disorder of the brain that affects developing children.
DEVELOPMENTAL MEDICINE & CHILD NEUROLOGY
Poster Presentations Poster presentation 1 Breech presentation in preterm and term births: a risk factor for cerebral palsy? E GINCOTA BUFTEAC 1,2 , RB JAHNSEN 3 , GL ANDERSEN 4 , T VIK 5 1 Oslo and Akershus University, Oslo, Norway; 2Early Intervention Center Voinicel, Chisßin a u, Moldova; 3Oslo University Hospital, Oslo, Norway; 4 Vestfold Hospital Trust, Tonsberg, Norway; 5Norwegian University of Science and Technology (NTNU), Trondheim, Norway
Introduction: To study whether breech presentation is a risk factor for cerebral palsy (CP). Patients and method: Perinatal data from 81 277 children born in breech, transversal, or vertex presentation in Moldova during 2009 to 2010 were retrieved from the National Statistical Data Moldova between July 1st, 2016 to September 30th, 2017. Data on 351 children with CP were identified. Logistic regression analyses were applied to calculate crude and adjusted odds ratios (OR) with 95% confidence intervals (CI) for CP among children born in breech, using children born in vertex presentation as a dependent variable. Results: Among 351 children with complete data diagnosed with CP (39% females), 26% had unilateral CP, 54% had bilateral CP, 13% had dyskinetic CP, and 5% had ataxic CP, while 2% were unclassified. Among children born in breech, the OR for CP was 3.6 (95% CI 2.3–5.3). The increased risk was marginally reduced when adjusted for plurality and preterm birth OR 3.2 (95% CI 2.1–5). However, among singletons born in breech by vaginal delivery at term, the OR for CP was 3.8 (95% CI 1.7–8.4). Severity or subtype of CP did not differ between breech and vertex presentation. Conclusion: Breech delivery is a significant risk factor for CP among children born in Moldova, in particular in singletons born by vaginal delivery at term.
Poster presentation 2 Risk factors of seizure recurrence after antiepileptic drug removal R IBADOVA Child Mental Health and Neurodevelopmental Center, Baku, Azerbaijan
Introduction: The aim of our study was to determine the risk factors of seizure recurrence and to evaluate the rate of epilepsy associated to antiepileptic drug (AED) removal in children with epilepsy. Patients and method: Twenty-six children with epilepsy who were seizure-free for at least two years were enrolled; it was proposed all children stop AED treatment and they were then followed for a year after AED withdrawal. Sixteen children were seizure free after drug removal, 10 children had seizures again. Patients with recurrent seizures after drug removal were evaluated as a relapse group and seizure free patients were
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ABSTRACTS
evaluated as a remission group. Factors that may cause relapse were analyzed. Results: Seizure relapse was more common in patients when the drug tapering rate was less than 3 months, the treatment period was less than 2 years, they had abnormal electroencephalography (EEG) before remission, they received polytherapy, they had neurological deficits, there was a symptomatic etiology of epilepsy, there were abnormal magnetic resonance imaging findings, and there was a family history of seizures. Conclusion: Factors that have been associated with a higher relapse risk include adolescent age of onset, a symptomatic etiology, an abnormal neurologic examination, and an epileptiform EEG pattern before or after withdrawal. In our study, the risk factors affecting relapse were similar to the results of other studies. Sex of the patient, febrile seizure history, initial age of seizure, and drug tapering were not found as a risk factors, while tapering the AEDs, a history of neurological deficits, drug tapering rate, treatment period, EEG findings before removal of the drug, seizure type, and number of drugs used are important guides.
Poster presentation 3 Mirror movements in children with unilateral cerebral palsy have a negative impact on upper limb function C SIMON-MARTINEZ 1 , I ZIELINSKI 2,3 , B HOARE 4,5 , B STEENBERGEN 2,6,7 , E ORTIBUS 8 , L MAILLEUX 1 , H FEYS 1 , K KLINGELS 1,9 1 KU Leuven - University of Leuven, Department of Rehabilitation Sciences, Leuven, Belgium; 2Behavioural Science Institute, Radboud University Nijmegen, Nijmegen, the Netherlands; 3Clinic for Pediatric and Adolescent Psychiatry, Psychosomatics, and Psychotherapy, Uniklinik RWTH Aachen, Aachen, Germany; 4Monash University, Department of Paediatrics, Melbourne, Victoria, Australia; 5La Trobe University, School of Occupational Therapy, Melbourne, Victoria, Australia; 6School of Psychology, Australian Catholic University, Melbourne, Victoria, Australia; 7Centre for Disability and Development Research, Australian Catholic University, Melbourne, Victoria, Australia; 8KU Leuven - University of Leuven, Department of Development and Regeneration, Leuven, Belgium; 9Rehabilitation Research Centre, BIOMED, Hasselt University, Diepenbeek, Belgium
Introduction: Mirror movements are involuntary movements of one hand that accompany voluntary movements of the other hand. In children with unilateral cerebral palsy (CP), mirror movements have been suggested to negatively impact on upper limb function, although they were assessed by means of an ordinal observation-based scale. Here, we used a novel quantitative assessment tool to investigate the impact of mirror movements on upper limb function in children with unilateral CP. Patients and method: Sixty-seven children with unilateral CP (mean age 10y 7mo (SD 2y 4mo), 34 females, Manual Ability Classification System (MACS): 16 in level I, 26 in level II, and 11 in level III performed a repetitive unimanual squeezing task, making a windmill turn by squeezing a force transducer with one hand while recording force profiles in both hands.
© 2018 The Authors. Developmental Medicine & Child Neurology © 2018 Mac Keith Press, 60 (Suppl. 2), 28–74 DOI: 10.1111/dmcn.13790
Mirror movement intensity was calculated as the cross-correlation coefficient between the two force profiles. Upper limb function was assessed using the Assisting Hand Assessment (AHA) and ABILHAND-Kids questionnaire. Results: Children in MACS level II showed higher mirror movement intensity in the dominant hand compared to MACS I or III (p
