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Published on: February 2, 2024
Cerebral palsy: incidence and clinical features in Saudi Arabia
A Al-Asmari1, K Al Moutaery, F Akhdar
1Research Center, Armed Forces Hospital, Riyadh, Saudi Arabia. akasmari@medu.net.sa
Insights
Cerebral palsy (CP) incidence in Saudi Arabia was found to be relatively high. Severe CP cases were often linked with intellectual disability, epilepsy, and visual impairments.
Area of Science:
- Neurology
- Pediatrics
- Public Health
Background:
- Cerebral palsy (CP) is a group of disorders affecting movement and posture.
- Understanding CP incidence and associated factors is crucial for public health initiatives.
Purpose of the Study:
- To analyze cerebral palsy (CP) incidence, etiology, birth weight, types, and associated impairments in children at Riyadh Military Hospital (RMH).
- To investigate the clinical features and trends of CP over a 20-year period (1984-2003).
Main Methods:
- Retrospective analysis of medical records for children aged 1-10 years diagnosed with CP.
- Inclusion of data from 99,788 live births between 1984 and 2003 at RMH.
- Investigation of 412 confirmed CP cases.
Main Results:
- The overall incidence of CP was 0.41%.
- A decreasing trend in CP incidence was observed across five-year intervals within the study period.
- Severe CP was frequently associated with co-occurring impairments like mental retardation, epilepsy, and visual impairments.
Conclusions:
- The livebirth incidence of cerebral palsy in Saudi Arabia appears relatively high compared to international studies.
- Combinations of severe disability and impairments highlight the complex needs of children with CP.
- Further research into CP aetiology and prevention strategies in the region is warranted.
Abstract:
The purpose of this work is to analyse the cerebral palsy (CP) incidence, aetiology, birthweight, types and/or subdiagnosis and associated impairments, individually or in combination, in children at Riyadh Military Hospital (RMH). The study covered the birth year period 1984 - 2003, during which 99,788 live births were recorded at Riyadh Military Hospital (RMH). Incidence ratio and clinical features of 412 positive cases of cerebral palsied children between 1 - 10 years old were investigated. Medical information was collected from patient files at the medical records department. The incidence of CP was 0.41%. The five intervals of the study period gave a pattern of decreasing percentage incidence. The case distribution according to birth weight, aetiology, duration and subdiagnoses was studied. It could be concluded that livebirth incidence of cerebral palsied patients in Saudi Arabia was relatively high as compared to most other studies. Severe disability due to cerebral palsy was associated with impairments such as mental retardation, epilepsy and visual impairments, often found in combinations.
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