Aetiology in severe and mild mental retardation: a population-based study of Norwegian children

作者: Petter Strømme , Gudrun Hagberg

DOI: 10.1017/S0012162200000165

关键词:

摘要: The aetiology of mental retardation (MR) was studied in a population-based series Norwegian children derived from 30 037 born between 1980 and 1985. study included 178 children, 79 with severe MR (SMR) (IQ<50) 99 mild (MMR) (IQ 50 to 70). Aetiology divided into two main groups: biopathological unspecified. group comprised 96% SMR 68% MMR, subdivided prenatal (70% 51%), perinatal (4% 5%), postnatal damage (5% 1%), undetermined timing the damaging event (18% 11%). Single-gene disorders accounted for 15 63 genetic disorders, including X-linked recessive six. During course study, at least 27 (15%) had their aetiological diagnosis revised. Gestational age <32 weeks, birthweight <1500 g, Apgar scores 0 2 1 5 minutes implied significantly increased risk MR, but contributed only 4% study. Decreased (1500 2499 g) 3 6 showed probability MR. Despite extensive investigations, 32% MMR were not identified any biological markers considered as unspecified several most probably representing lower end normal IQ distribution population.

参考文章(48)
P. STRØMME, The diagnosis of syndromes by use of a dysmorphology database Acta Paediatrica. ,vol. 80, pp. 106- 109 ,(1991) , 10.1111/J.1651-2227.1991.TB11741.X
Michael B. Petersen, Karen Brøndum-Nielsen, Lars Kjærsgård Hansen, Karl Wulff, Clinical, cytogenetic, and molecular diagnosis of Angelman syndrome: estimated prevalence rate in a Danish county. American Journal of Medical Genetics. ,vol. 60, pp. 261- 262 ,(1995) , 10.1002/AJMG.1320600317
George Mendelson, Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV) Australian and New Zealand Journal of Psychiatry. ,vol. 29, pp. 529- 535 ,(2009) , 10.3109/00048679509064964
P. Strómme, O. Stokke, E. Jellum, O.K. Skjeldal, R. Baumgartner, Atypical methylmalonic aciduria with progressive encephalopathy, microcephaly and cataract in two siblings : a new recessive syndrome ? Clinical Genetics. ,vol. 48, pp. 1- 5 ,(2008) , 10.1111/J.1399-0004.1995.TB04045.X
Arne Åkefeldt, Christopher Gillberg, Christer Larsson, Prader-Willi syndrome in a Swedish rural county: epidemiological aspects. Developmental Medicine & Child Neurology. ,vol. 33, pp. 715- 721 ,(2008) , 10.1111/J.1469-8749.1991.TB14950.X
M A Lamont, N R Dennis, Aetiology of mild mental retardation. Archives of Disease in Childhood. ,vol. 63, pp. 1032- 1038 ,(1988) , 10.1136/ADC.63.9.1032
C D Drews, M Yeargin-Allsopp, P Decouflé, C C Murphy, Variation in the influence of selected sociodemographic risk factors for mental retardation. American Journal of Public Health. ,vol. 85, pp. 329- 334 ,(1995) , 10.2105/AJPH.85.3.329
J E Morton, S Bundey, T P Webb, F MacDonald, P M Rindl, S Bullock, Fragile X syndrome is less common than previously estimated. Journal of Medical Genetics. ,vol. 34, pp. 1- 5 ,(1997) , 10.1136/JMG.34.1.1