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.

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