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Published on: February 2, 2024
Epidemiology of cerebral palsy in El-Kharga District-New Valley (Egypt)
Hamdy N El-Tallawy1, Wafaa M A Farghaly, Ghaydaa A Shehata
1Department of Neurology, Assiut University, Egypt.
Insights
Cerebral palsy (CP) affects 2.04 per 1000 children, with spastic type being most common. Prenatal complications and birth factors are significant risk factors for childhood cerebral palsy.
Area of Science:
- Neurology
- Pediatrics
- Public Health
Background:
- Cerebral palsy (CP) is the leading cause of motor disability in children.
- Understanding the epidemiology of CP is crucial for targeted interventions.
Purpose of the Study:
- To determine the prevalence and epidemiological characteristics of cerebral palsy in children.
- To identify risk factors associated with CP in the El-Kharga District.
Main Methods:
- A door-to-door study was conducted in El-Kharga District, New Valley.
- Children underwent comprehensive medical, neurological examinations, brain MRI, EEG, and Stanford Binet testing.
- Data on prevalence, subtypes, and risk factors were collected.
Main Results:
- The prevalence of CP was found to be 2.04 per 1000 live births (95% CI: 1.48-2.59).
- Spastic CP was the most frequent subtype (65.4%), followed by mixed (26.9%), ataxic, and dyskinetic types (3.8% each).
- Identified risk factors included prenatal complications, being the firstborn, and recurrent abortions.
Conclusions:
- The study provides essential epidemiological data on cerebral palsy in the region.
- Prenatal and birth-related factors significantly contribute to the risk of developing CP.
- Further research and public health initiatives are needed to address CP prevalence and its risk factors.
Abstract:
Cerebral palsy (CP) is the most frequent cause of motor handicap among children. The present door to door (every door) study was conducted in El-Kharga District-New Valley to estimate the epidemiology of CP among children. Each child was subjected to complete medical and neurological examination to detect cases with CP. These diseased children were subjected to meticulous neurological and medical assessment, brain MRI, EEG and Stanford Binet (4th edition). It was found that 52 out of 25,540 children had CP yielding prevalence rate of 2.04/1000 (95% CI: 1.48-2.59) of living births. Mean age of children with CP, was 7.17±4.38years. The order of frequency of different subtypes of CP was as follows, 65.4% had spastic type, 26.9% mixed type and 3.8% for each ataxic and dyskinetic types of CP. The frequency of risk factors of CP in our study is prenatal complications (cyanosis, preterm, jaundice, birth weight and obstructed labor of mothers), first baby, similar condition and recurrent abortions.
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