Clinical profile and predisposing factors of cerebral palsy

Anwar, Sidqi; Chowdhury, J; Khatun, Mst Rahima; Mollah, Abid Hossain; Begum, HA; Rahman, Zakia; Nahar, Nikita

doi:10.3329/mmj.v15i2.32

Cited by 16 publications

(20 citation statements)

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“…observed that majority (53.6%) of the CP cases were reported to had perinatal asphyxia. [11] They also observed that mothers of 43.6% CP children had history of prolonged labor while in our study only 1.6% CP chil-dren's mothers had prolonged labor history. Our study result was supported by similar finding in study performed by Gedam et al .…”

Section: Discussionsupporting

confidence: 63%

Clinical spectrum, comorbidities, and risk factor profile of cerebral palsy children: A prospective study

2017

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Aim and Objective:Cerebral palsy (CP) is the most common motor disability in childhood. This study aimed to describe clinical spectrum, comorbidities, and risk factors associated with CP children.Materials and Methods:This hospital-based observational study was conducted in tertiary level hospital in Jaipur including 180 CP children aged 1–12 years, attending the Paediatric Neurology Outdoor and Child Development Centre. A detailed history of antenatal, natal, and postnatal events taken and thorough examination was performed to stratify children in proper topographical and physiological classification.Results:Mothers of 47.7% CP children were primigravida and 17.7% mothers had anemia during pregnancy. Among natal factors, asphyxia contributed to maximum cases (52.2%). Seizure in postnatal life was the second most common risk factor for CP after asphyxia. Spastic CP (84.4%) was the most common physiological type, and quadriplegia (56.6%) was the most common topographical type observed in this study. Intellectual disability (47.7%) followed by epilepsy (41.6%) was the most common comorbidity.Conclusion:Even with the advancement of health-care system, asphyxia is the most common risk factor, and spastic quadriplegia is the most common type of CP. There is still a need of improving the health facilities to overcome this costly and common neuromotor disability. Widespread knowledge of common risk factors that can predispose to CP can prevent the CP development to some extent and knowledge of clinical spectrum, and comorbidities can improve their targeted treatment which can improve their growth and social participation.

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Section: Discussionsupporting

confidence: 63%

Clinical spectrum, comorbidities, and risk factor profile of cerebral palsy children: A prospective study

2017

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“…Our study found the commonest presentation of cerebral palsy to be spastic CP found in 90.2% of the sample followed by atonic (3.9%) and ataxic/mixed CP (3.9%).The other Pakistani study carried out by Nazir B et al found 72% of all CP children to be having spastic CP followed by atonic CP (19%) and athetoid CP (6.7%) 6 . Nafi OA, Tosun A, Himmelmann K, Wichers MJ and Winter S also reported commonest presentation of cerebral palsy as spastic type in Jordanian, Turkish, Swedish, Dutch and American population 11,10,5,12,13,14 . Diplegia was the commonest presentation of spastic CP in our study, found in 33.3%.…”

Section: Discussionmentioning

confidence: 99%

“…Nazir B recognized birth asphyxia, meningoencephalitis, prematurity and low birth weight and kernicterus as important etiologies accounting for 36%, 34%, 8% and 5.5% respectively 6 .Singhi P et al in a recent study from India determined brain infection to be the major etiological factor followed by birth asphyxia and kernicterus in 57.4%, 52% and 30% of the sample respectively 16 . Anwar S et al also found birth asphyxia to be the major causative factor in Bangladeshi CP children, reported in 53.6% cases 11 . In terms of etiological factors correlated with the type of CP, birth asphyxia and prematurity were the major contributors in our study towards spastic quadriplegic and diplegic CP, prematurity was the main contributor towards spastic hemiplegic CP while kernicterus was the major contributor towards atonic and athetoid CP.…”

Section: Discussionmentioning

confidence: 99%

“…Nazir B et al established spastic quadriplegia as the most common type (46.7%) followed by diplegia (12.5%) and hemiplegia (9.2%) 6 . A study from Bangladesh discovered spastic diplegia to be the predominant presentation (34.5%) followed by spastic quadriplegia (25.5%) 11 .Nafi OA recognized quadriplegia to be the frequent presentation (34.4%) followed by hemiplegia (26.2%) and diplegia (22.1%) in children with spastic CP. (10) A study from India found spastic CP presenting as quadriplegia in 61% and diplegia in 22% 4 .…”

Section: Discussionmentioning

confidence: 99%

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Pakistanlı Çocuklarda Serebral Palsi: Hastane Tabanlı İnceleme

Khan¹,

Kazemi²,

Ayaz³

et al. 2014

Cukurova Medical Journal

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Purpose: The prevalence of cerebral palsy is high in Pakistan, however, it needs to be further explored. This study aimed at assessing clinical presentations and etiological factors among children with cerebral palsy in a Pakistani hospital. Materials and Methods:It was a descriptive case series recruiting 102 children who presented to cerebral palsy rehabilitation clinic of Armed Forces Institute of Rehabilitation Medicine, Rawalpindi fulfilling the criteria adopted by Surveillance of Cerebral Palsy in Europe. Results:Of 102 children, 46 (45.1%) were male and 56 (54.9%) were female with a mean age of 5.6 ± 2.25 years.Spastic cerebral palsy was the commonest presentation (90.2%) mainly presenting as diplegia (33.3%) and quadriplegia (32.4%) followed by atonic, ataxic/mixed and athetoid CP accounting for 3.9%, 3.9%, and 2.0% respectively. Birth asphyxia was the most encountered etiologic factor (32.4%) followed by prematurity (26.5%), kernicterus (12.7%) and meningoencephalitis (10.8%). Spastic quadriplegic and diplegic CP were primarily related to birth asphyxia, hemiplegic, ataxic and mixed CP to prematurity and atonic and athetoid CP to kernicterus. ÖZETAmaç: Pakistan'da serebralpalsi frekansı yüksektir ancak bu durumun daha fazla araştırılması gerekmektedir. Bu çalışmanın amacı Pakistan'da hastanede serebralpalsili çocuklar arasında klinik sunumların ve etyolojik faktörlerin değerlendirilmesidir. Materyal ve Metod: Bu çalışmaya dahil edilen 102 çocuk, Avrupa'daki Surveillance of CerebralPalsyde gözetim altında bulunan çocuklarla aynı kriterlere sahiptir ve Rawalpindi'de Silahlı kuvvetler rehabilitasyon merkezi enstitüsünde bulunmaktadır. Bulgular: 102 çocuktan 46'sı (%45.1) erkek, 56'sı (%54.9) kızdır, çocukların ortalama yaşları 5.6 ± 2.25' tir. En sık spastik serebralpalsi (%90.2) görülmektedir, bu da dipleji (%33.3), kuadriplejiyi (%32.4) takip eden 3.9% atonik, % 3.9 ataksik/karışık ve %2 atedoit CP olarak görülmektedir. Doğum asfiksisi en sık karşılaşılan etyolojik faktördür (%32.4) bunu prematürite (%26.5), kernikterus (%12.7) ve meningoensefalit (%10.8) takip etmektedir. Spastik kuadriplejik ve

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“…Many more will have less severe speech and communication disorders as a consequence of their motor impairment, or disorders arising from speech, language, and cognitive processing deficits associated with CP. In other studies, data on the percentage of children with CP who have speech disorders vary from 67% (Anwar, et al, 2006) to over 80% (Odinga et al 2006). These data suggest that speech, and language deficits are highly prevalent among children and people with CP, and greatly complicate the process of education and learning from the earliest period.…”

Section: Speech and Language Disordersmentioning

confidence: 99%