A study of clinical profile and factors associated with cerebral palsy in children at tertiary health care center
Journal Title: Medpulse International Journal of Pediatrics - Year 2017, Vol 2, Issue 1
Abstract
Background: Cerebral palsy (CP) is a chronic disorder, predominantly, of the motor function, which occurs in children as a result of non-progressive insult to the immature brain. The primary manifestation in CP is the disorder of the motor function. Aims and Objectives: To study clinical profile and factors associated with cerebral palsy in children at tertiary health care center Methodology: After approval from Institutional ethical committee this cross-sectional study carried out in the patients of Cerebral palsy at the department of Pediatric of the tertiary health care center. The cases were classified based on the modified Minear’s classification. All the necessary details like age, sex, Clinical types and Associated factors like Antenatal, Natal, Post-natal etc. were retrieved from the parents or caregivers of the patients. Result: The majority of the patients were in the age group of 1-5 i.e. 48%, followed by 5-10-32%. The majority of the patients were Male i.e. 68% followed by Females i.e. 32%. As per the Clinical types the most common type was Spastic-52%, Atonic-28%, Mixed-20%.Delayed milestones in 96% persons followed by Feeding difficulties and excessive drooling in 88%, Speech defects in 72%, Disturbance of tone and posture in 52%, Respiratory tract infections in 48%. The most common prenatal associated factors were Maternal age 35 were 68 % followed by Consanguinity in 8%. In Perinatal factors Severe Asphyxia-84% followed by Low birth weight in 80%. The most common post-natal factors were Neonatal hyperbilirubinemia in 48% followed by Neonatal septicemia in 44%. Conclusion: As per the Clinical types the most common type was Spastic followed by Atonic, Mixed. The most common presenting features were Delayed milestones followed by Feeding difficulties. The most common associated factors in our study were Maternal age >35 followed by Consanguinity, Severe Asphyxia, Low birth weight, Neonatal hyperbilirubinemia, Neonatal septicemia etc.
Authors and Affiliations
Anant Ganpath Bendale, Sanjay Pundalik Baviskar
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