Clinical profile and predisposing factors of cerebral palsy
S Anwar1, J Chowdhury, M Khatun
1Department of Paediatrics, Dhaka Medical College, Dhaka, Bangladesh. poppy@citechcho.net
Insights
This study analyzed 110 children with cerebral palsy (CP), finding spastic diplegia most common. Perinatal factors like asphyxia and prolonged labor were significant contributors, highlighting the need for improved perinatal care to prevent CP.
Area of Science:
- Pediatrics
- Neurology
- Public Health
Background:
- Cerebral palsy (CP) is a common neurodevelopmental disorder.
- Understanding the clinical profile and etiological factors of CP in specific populations is crucial for targeted interventions.
Purpose of the Study:
- To analyze the clinical profile, etiological factors, and associated problems in children with cerebral palsy.
- To identify key risk factors and associated conditions in pediatric CP cases.
Main Methods:
- Retrospective analysis of 110 children diagnosed with cerebral palsy.
- Data collection included clinical presentation, etiological factors, and associated disabilities.
- Children attended the Child Development & Neurology Care Center in Dhaka.
Main Results:
- The predominant type was spastic diplegia (34.5%), followed by spastic quadriplegia (25.5%).
- Delayed motor function was universal; delayed speech (67.3%) and impaired hearing (26.8%) were common.
- Maternal history revealed prolonged labor (43.6%), pre-eclampsia/eclampsia (29.1%), and perinatal asphyxia (53.6%) as significant risk factors.
Conclusions:
- Comprehensive assessment and early management are vital to minimize CP-related disabilities.
- Improved perinatal care and interventions can play a significant role in the prevention of cerebral palsy.
Abstract:
This was an analysis of one hundred ten children with cerebral palsy (CP) attending at the Child Development & Neurology Care Center of Dhaka Medical College Hospital during January 2002 to December 2003. These children were observed to study their clinical profile, etiological factors and associated problems. The mean age of these children was 2.9 +/- 2.9 years, mostly being males (n=79, 71.8%). Most of the families of these children belonged to poorer socioeconomic strata. Spastic diplegia constituted the predominant group (34.5 per cent), followed by spastic quadriplegia (25.5 per cent). Dyskinetic CP was present in 15.5 percent of the cases. Hypotonic CP constituted a significant proportion of cases. Delayed Motor Function was observed in all 110 cases, delayed speech was complained in 67.3% cases and impaired hearing was identified in 26.8% CP children. Mothers of 43.6% CP cases reported that they had prolonged labour during delivery and almost one third (29.1%) had suffered from pre-eclampsia or eclampsia. Majority (53.6%) of the CP cases were reported to have had perinatal asphyxia. Comprehensive assessment and early management of these problems are emphasized, which can minimize the extent of disabilities. By proper perinatal care, CP can be prevented.
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