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Repeated Transcranial Magnetic Stimulation Combined with Action Observation Training in Children with Spastic Cerebral Palsy

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Cerebral palsy in Saudi children.

Abdulsalam A Al-Sulaiman¹, Olajide F Bademosi, Hassan M Ismail

¹Department of Neurology, King Fahd Hospital of the University, PO Box 40180, Al-Khobar 31952, Kingdom of Saudi Arabia. Tel. +966 (3) 8823903. Fax. +966 (3) 8822346.

Neurosciences (Riyadh, Saudi Arabia)

|May 8, 2013

Summary

This study identified twin pregnancy, preterm birth, low birth weight, and prolonged labor as key risk factors for cerebral palsy (CP) in Saudi children. Improved maternal and perinatal care may help reduce CP incidence.

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Area of Science:

Neurology
Pediatrics
Public Health

Background:

Cerebral palsy (CP) is a significant developmental disorder affecting children worldwide.
Identifying risk factors is crucial for targeted prevention strategies and early intervention.

Purpose of the Study:

To delineate the clinical characteristics of cerebral palsy in Saudi children aged 1-3 years.
To determine the associated risk factors for CP within this cohort.

Main Methods:

A prospective cohort study of 187 Saudi children (1-3 years) diagnosed with CP.
Data collected included clinical presentation, neurological findings, family history, and perinatal factors.
Investigations included electroencephalography (EEG) and cranial computerized tomography (CT).

Main Results:

The primary symptoms observed were inability to walk independently (54%), delayed speech (52%), and seizures (45%).
Neurological features included motor weakness (85%) and spasticity (60%).
Identified risk factors included twin pregnancies (25%), low birth weight (34%), preterm deliveries (20%), and birth asphyxia (165 cases).

Conclusions:

Twin pregnancy, preterm delivery, prolonged labor, low birth weight, and family history of CP were significant risk factors.
Enhanced maternal and perinatal care is recommended to potentially decrease the incidence of cerebral palsy.