Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/71207
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Type: Journal article
Title: Cytomegalovirus and Epstein–Barr virus may be associated with some cases of cerebral palsy
Author: McMichael, G.
MacLennan, A.
Gibson, C.
Alvino, E.
Goldwater, P.
Haan, E.
Dekker, G.
Citation: The Journal of Maternal - Fetal & Neonatal Medicine, 2012; 25(10):2078-2081
Publisher: Taylor & Francis Ltd
Issue Date: 2012
ISSN: 1476-7058
1476-4954
Statement of
Responsibility: 
Gai McMichael, Alastair MacLennan, Catherine Gibson, Emily Alvino, Paul Goldwater, Eric Haan, Gustaaf Dekker
Abstract: Objective: Intrauterine infection is a risk factor for cerebral palsy. Previous work reported a high frequency of viral DNA in newborn screening cards from cerebral palsy cases and controls possibly due to contamination. Methods: Retrospective case-control study using improved methodologies to minimize contamination during PCR-based detection of viral DNA sequences. Newborn screening cards of 339 Caucasian children with cerebral palsy and 594 controls were examined. Viruses tested were herpes simplex viruses 1 and 2 (HSV1 and 2), varicella zoster virus (VZV), Epstein–Barr virus (EBV), cytomegalovirus (CMV), human herpes viruses 6, 7 and 8 (HHV6, HHV7 and HHV8), and parvovirus B19. Genotyping was performed on DNA extracted from dried blood spots. Results: CMV and EBV were detected in 5 (1.5%) and 3 (0.9%) of 339 cases, respectively, but not in controls (p  = 0.047 and 0.006). Frequencies of detection of the other viruses examined were similar for cases and controls. DNA from at least one of the nine viruses tested was found in 4.4% of cases and 3.1% of controls [OR 1.4 95% CI (0.71–2.76)]. Conclusion: Evidence of congenital viral infection was uncommon in cases of cerebral palsy and controls. However, CMV and EBV were significantly associated with cerebral palsy.
Keywords: Australian Collaborative Cerebral Palsy Research Group; Humans; Cytomegalovirus; Herpesvirus 4, Human; Cytomegalovirus Infections; Epstein-Barr Virus Infections; Cerebral Palsy; DNA, Viral; Neonatal Screening; Case-Control Studies; Retrospective Studies; Polymerase Chain Reaction; Adolescent; Child; Child, Preschool; Infant, Newborn; Dried Blood Spot Testing
RMID: 0020122123
DOI: 10.3109/14767058.2012.666587
Appears in Collections:Obstetrics and Gynaecology publications
Cerebral Palsy Research Group publications

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